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Individual
JUDY L PASSANANTE
Active
Individual
JUDY L PASSANANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW14074
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW14074
CA LICENSE
CA
Enumeration date
10/05/2006
Last updated
08/29/2013
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