Individual
TA-TANEISHA THAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17805 COTTONWOOD CT, CARSON, CA 90746-7446
(310) 480-8062
(310) 982-2144
Mailing address
17805 COTTONWOOD CT, CARSON, CA 90746-7446
(310) 480-8062
(310) 982-2144
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
CA
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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