Individual
ANDREW SPIVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW/ASW
Contact information
Practice address
6121 HOLLIS ST STE 2, EMERYVILLE, CA 94608-2078
Mailing address
1045 45TH ST APT B, EMERYVILLE, CA 94608-3310
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW87834
CA
Other
Enumeration date
07/24/2023
Last updated
06/05/2024
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