Individual
BRIANNA DARDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
819 3RD ST, SANTA ROSA, CA 95404-4545
(707) 303-8431
Mailing address
1336 BERRYDALE DR, PETALUMA, CA 94954-4359
(707) 338-5435
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
119619
CA
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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