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Organization
OAKLAND UNIFIED SCHOOL DISTRICT
Active
Organization
OAKLAND UNIFIED SCHOOL DISTRICT
Active
Other names
Roots Academy
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE SARAH HIGGINS REIS LCSW (CLINICAL SUPERVISOR)
(510) 874-3716
Entity
Organization
Contact information
Practice address
1390 66TH AVE, OAKLAND, CA 94621-3506
(510) 639-3226
Mailing address
2850 WEST ST, OAKLAND, CA 94608-4536
(510) 874-3716
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
21739 LCSW
CA
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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