Individual
JUANITA R SHOOPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
419 MASON ST STE 201, VACAVILLE, CA 95688-4535
(707) 249-3405
Mailing address
419 MASON ST STE 201, VACAVILLE, CA 95688-4535
(707) 249-3405
(707) 446-5397
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCS17476
CA
1041C0700X
Clinical Social Worker
LCS17476
CA
Other
Enumeration date
02/05/2007
Last updated
04/02/2024
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