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Individual

ANDREA ANGELICA TANORI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
25825 VERMONT AVE, HARBOR CITY, CA 90710-3518
(424) 251-7791
Mailing address
1443 W 172ND ST, GARDENA, CA 90247-5711
(310) 714-0112

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
102148
CA

Other

Enumeration date
10/16/2021
Last updated
10/16/2021
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