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Individual
ELENO PUENTE
Active
Individual
ELENO PUENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ACSW108496
CA
1041C0700X
Clinical Social Worker
Primary
ASW108496
CA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
10/30/2014
Last updated
05/19/2026
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