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General NPI Number Information
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NPI Number | 1932433778
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Entity Type | Individual
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Provider Name | LETTIE ORDONE LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/27/2009
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 2311 N TRACY BLVD STE A
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City | TRACY
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State | CA
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Zip | 95376-2426
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Country | US
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Telephone | 209-640-4179
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Fax | 209-207-9225
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Provider Business Mailing Address
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Address Line | 793 S TRACY BLVD # 370
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City | TRACY
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State | CA
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Zip | 95376-4753
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Country | US
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Telephone | 209-640-4179
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Fax | 209-207-9225
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 24606
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License Number State | CA
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