in Davis - Clinical

- NPI 1043420573

is a Clinical in Davis, California. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1043420573. The last update date is .

's current location address is 429 F St, Davis, California. You can contact this provider via phone number 5307538878. The mailing address for is 429 F St, Davis, California. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 429 F St, Davis, California
Phone Number 5307538878
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1043420573
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 429 F St
City Davis
State California (CA)
Post Code 956164150
Phone Number 5307538878
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCS15614
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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