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Individual
MARYLOU MENDEZ
Active
Individual
MARYLOU MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
106144
CA
1041C0700X
Clinical Social Worker
106144
CA
106S00000X
Behavior Technician
00002109
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2019
Last updated
06/15/2023
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