Individual
MR. IRA KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
401 BICENTENNIAL DRIVE, SANTA ROSA, CA 95404
(707) 571-4015
(707) 571-3799
Mailing address
401 BICENTENNIAL DRIVE, SANTA ROSA, CA 95404
(707) 571-4015
(707) 571-3799
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCS17902
CA
Other
Enumeration date
12/14/2006
Last updated
07/24/2007
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