Individual
DELARA TAIE-TEHRANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
3132 JEFFERSON ST, SAN DIEGO, CA 92110-4421
(619) 683-3100
Mailing address
3132 JEFFERSON ST, SAN DIEGO, CA 92110-4421
(619) 683-3100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
120655
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/06/2022
Last updated
02/19/2024
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