Individual
MR. ANTHONY TUNG THAI
Active
Individual
MR. ANTHONY TUNG THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
ASW35792
CA
1041C0700X
Clinical Social Worker
Primary
LCSW94690
CA
171M00000X
Case Manager/Care Coordinator
ASW35792
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512013461
—
CA
Enumeration date
01/20/2013
Last updated
05/14/2020
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