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Organization
ROSS M AND FRANCES E.BECKER A PROFESSIONAL CORPORATION
Active
Organization
ROSS M AND FRANCES E.BECKER A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS M BECKER PHD (OWNER)
(559) 636-1885
Entity
Organization
Contact information
Practice address
401 N CHURCH ST, VISALIA, CA 93291-5006
(559) 636-1885
Mailing address
PO BOX 8078, SUITE A, VISALIA, CA 93290-8078
(559) 636-1885
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS3387
CA
1041C0700X
Clinical Social Worker
LCS4068
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ55165Y
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
01/06/2009
Last updated
10/16/2012
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