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Individual

JASPER JACOBUS HART VERDUIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1500 FRANKLIN ST, SAN FRANCISCO, CA 94109-4523
(415) 474-7310
Mailing address
1500 FRANKLIN ST, SAN FRANCISCO, CA 94109-4523

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
113092
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
113092
CALIFORNIA B.B.S.
CA
Enumeration date
02/08/2023
Last updated
03/17/2025
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