Tanisha J Ganub
Tanisha J Ganub is a Clinical Social Worker in Stockton, California. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1803 W March Ln Ste C&dStockton, CA 95207-6414
Phone: (209) 636-5353
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1366066441 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 3, 2020 |
| Last updated in NPPES | June 3, 2020 |
| Certification date | June 3, 2020 |
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