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Organization

THE PRACTICE COUNSELING SERVICES LICENSED CLINICAL SOCIAL WORKER, PC

Active
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Organization

THE PRACTICE COUNSELING SERVICES LICENSED CLINICAL SOCIAL WORKER, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARA SAMMARTINO LCSW (OFFICE MANAGER)
(562) 587-7409
Entity
Organization

Contact information

Practice address
1000 TEXAS ST STE D, FAIRFIELD, CA 94533
(562) 587-7409
Mailing address
1000 TEXAS ST STE D, FAIRFIELD, CA 94533-5700
(562) 587-7409

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
69929
CA
1041C0700X
Clinical Social Worker
Primary
70176
CA
1041C0700X
Clinical Social Worker
71187
CA
1041C0700X
Clinical Social Worker
79256
CA

Other

Enumeration date
03/08/2018
Last updated
07/06/2018
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