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Individual
YENDI VIDAL
Active
Individual
YENDI VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
72272
CA
172V00000X
Community Health Worker
72272
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72272
LCSW
CA
01
—
FHC11466F
MEDICAL
CA
Enumeration date
06/04/2012
Last updated
12/02/2024
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