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Organization
EILEEN COLORADO LICENSEDCLINICAL SOCIALWORKER PROFESSIONAL CORPORATION
Active
Organization
EILEEN COLORADO LICENSEDCLINICAL SOCIALWORKER PROFESSIONAL CORPORATION
Active
Other names
Pacific Bay Assessments & Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN ELLSWORTH COLORADO LCSW (OWNER)
(702) 241-1249
Entity
Organization
Contact information
Practice address
1300 CLAY ST STE 600, OAKLAND, CA 94612-1427
(702) 241-1249
Mailing address
1067 RIDGE PARK DR, CONCORD, CA 94518-1434
(702) 241-1249
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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