Individual
ALYSSA KATE HURTADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2828 FORD ST, OAKLAND, CA 94601-2114
(510) 926-0060
Mailing address
35364 RAMSGATE DR, NEWARK, CA 94560-1445
(518) 312-3555
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
ASW88768
CA
1041C0700X
Clinical Social Worker
088559-01
NY
1041C0700X
Clinical Social Worker
Primary
115546
CA
390200000X
Student in an Organized Health Care Education/Training Program
88768
CA
Other
Enumeration date
08/12/2019
Last updated
05/31/2023
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