Individual
ROMYNA MAE TEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 525-6201
Mailing address
3264 PELANDALE AVE APT 9, MODESTO, CA 95356-9747
(559) 309-6884
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
ASW111034
CA
Other
Enumeration date
09/05/2020
Last updated
03/25/2024
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