is a Clinical in San Leandro, California. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1740499060. The last update date is .
's current location address is 2045 Fairmont Dr, San Leandro, California. You can contact this provider via phone number 5106677514 and fax number 5106677711. The mailing address for is 2045 Fairmont Dr, San Leandro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2045 Fairmont Dr, San Leandro, California |
| Phone Number | 5106677514 |
| Fax Number | 5106677711 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1740499060 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2045 Fairmont Dr |
|---|---|
| City | San Leandro |
| State | California (CA) |
| Post Code | 945781088 |
| Phone Number | 5106677514 |
| Fax Number | 5106677711 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS12395 |
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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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