Individual
JILLIAN ELIZABETH HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
210 N. FOURTH ST, SUITE 100, SAN JOSE, CA 95112
(408) 295-5288
(408) 292-1029
Mailing address
900 PEPPER TREE LN APT 314, SANTA CLARA, CA 95051-5279
(408) 454-4300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22004
CA
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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