Individual
ALEXANDER DANIEL TANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
2801 CAMINO DEL RIO S STE 204-5, SAN DIEGO, CA 92108-3800
(619) 288-3225
Mailing address
6277 CAMINITO BASILIO, SAN DIEGO, CA 92111-7206
(619) 288-3225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
109642
CA
1041C0700X
Clinical Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/21/2018
Last updated
01/09/2023
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