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Organization

DEPARTMENT OF VETERAN AFFAIRS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARY NOVEDA CABARDO ASW (SOCIAL WORKER CASE MANAGER)
(650) 493-5000
Entity
Organization

Contact information

Practice address
795 WILLOW RD, (180D), MENLO PARK, CA 94025-2539
(650) 493-5000
(650) 617-6709
Mailing address
795 WILLOW RD, (180D), MENLO PARK, CA 94025-2539
(650) 493-5000
(650) 617-6709

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
ASW22448
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ASW22448
ASSOCIATE CLINICAL SOCIAL WORKER
CA
Enumeration date
03/08/2010
Last updated
03/08/2010
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