Individual
ANA R TAFOLLA RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6090 REDWOOD BLVD, NOVATO, CA 94945-4569
(415) 448-1500
Mailing address
6090 REDWOOD BLVD, NOVATO, CA 94945-4569
(415) 448-1500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
ASW104043
CA
1041C0700X
Clinical Social Worker
Primary
125836
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
228106
CALIFORNIA BOARD OF BEHAVIORAL SCIENCES
CA
Enumeration date
08/27/2019
Last updated
09/09/2024
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