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Individual
JIM ROQUE TANG JR.
Active
Individual
JIM ROQUE TANG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW78635
CA
1041C0700X
Clinical Social Worker
Primary
LCSW104671
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
01/15/2014
Last updated
12/22/2023
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