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Individual

HASMIG TATIOSSIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2225 CHALLENGER WAY, SANTA ROSA, CA 95407-5441
(707) 565-6900
Mailing address
PO BOX 1347, ROHNERT PARK, CA 94927-1347
(818) 730-8130

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
125498
CA

Other

Enumeration date
11/18/2022
Last updated
01/14/2026
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