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Organization
SANTA CLARA COUNTY
Active
Organization
SANTA CLARA COUNTY
Active
Other names
Santa Clara County
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE GRIJALVA (SENIOR HEALTH REPRESENTATIVE)
(408) 262-6588
Entity
Organization
Contact information
Practice address
2101 ALEXIAN DR STE 110, SAN JOSE, CA 95116-1901
(408) 687-2583
Mailing address
2101 ALEXIAN DR STE 110, SAN JOSE, CA 95116-1901
(408) 687-2583
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ASW94680
BBS
CA
Enumeration date
06/27/2022
Last updated
06/27/2022
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