Individual
AVNI PANCHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW PPSC
Contact information
Practice address
3800 PARK BLVD STE 200, OAKLAND, CA 94602-1114
(510) 863-0101
Mailing address
PO BOX 29401, OAKLAND, CA 94604-9401
(510) 863-0101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
73399
CA
Other
Enumeration date
12/11/2009
Last updated
12/10/2020
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