Individual
MR. DEAN ANTHONY THEODORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
462 COLD CANYON RD., CALABASAS, CA 91302
(818) 679-6204
(818) 224-2728
Mailing address
462 COLD CANYON RD., CALABASAS, CA 91302
(818) 679-6204
(818) 224-2728
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ASW-113991
CA
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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