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Organization
FAMILY SERVICE AGENCY OF SAN MATEO COUNTY
Active
Organization
FAMILY SERVICE AGENCY OF SAN MATEO COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE WISHARD MSW (AGENCY PRESIDENT)
(650) 403-4300
Entity
Organization
Contact information
Practice address
2600 MIDDLEFIELD RD, REDWOOD CITY, CA 94063-3402
(650) 780-7541
(650) 701-0856
Mailing address
24 2ND AVE, SAN MATEO, CA 94401-3828
(650) 403-4300
(650) 403-4305
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ398386507010856
UNSURE
CA
Enumeration date
07/11/2006
Last updated
08/22/2020
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