Individual
MR. BAYLEY A RAIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5508 MACDONALD AVE, EL CERRITO, CA 94530-1640
(510) 374-2980
Mailing address
5508 MACDONALD AVE, EL CERRITO, CA 94530-1640
(510) 374-2980
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 22900
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW 22900
SOCIAL WORK LICENSE
CA
Enumeration date
11/22/2006
Last updated
07/08/2007
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