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Organization
THE SUPPORT PROJECT, INC
Active
Organization
THE SUPPORT PROJECT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT COE LCSW (PRESIDENT)
(415) 563-3294
Entity
Organization
Contact information
Practice address
3527 SACRAMENTO ST STE 102, SAN FRANCISCO, CA 94118-1884
(415) 563-3294
(510) 531-4764
Mailing address
3527 SACRAMENTO ST STE 102, SAN FRANCISCO, CA 94118-1884
(415) 563-3294
(510) 531-4764
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 15838
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ33489Z
BLUE SHIELD OF CA
CA
Enumeration date
07/06/2006
Last updated
08/22/2020
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