Individual
BLANCA MIRELLA CORTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1272 HAYES ST, NAPA, CA 94559-1711
(707) 255-0966
Mailing address
1272 HAYES ST, NAPA, CA 94559-1711
(707) 255-0966
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW110283
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
06/04/2021
Last updated
12/16/2024
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