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Organization
PARENT SERVICES PROJECT
Active
Organization
PARENT SERVICES PROJECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BALANDRA FREGOSO LCSW (EXECUTIVE DIRECTOR)
(415) 497-7472
Entity
Organization
Contact information
Practice address
79 BELVEDERE ST STE 101, SAN RAFAEL, CA 94901-4868
(415) 454-1870
Mailing address
79 BELVEDERE ST STE 101, SAN RAFAEL, CA 94901-4868
(415) 454-1870
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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