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Individual

DANIEL TELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
525 21ST ST, OAKLAND, CA 94612-1605
(415) 960-9048
Mailing address
3069 ALAMO DR # 170, VACAVILLE, CA 95687-6344
(916) 917-9049

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
110037
CA

Other

Enumeration date
04/12/2019
Last updated
11/19/2025
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