Individual
COLLEEN RENE MARUSCSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 CIRBY HILLS DR, ROSEVILLE, CA 95678-4360
(167) 878-9309
Mailing address
101 CIRBY HILLS DR, ROSEVILLE, CA 95678-4360
(167) 878-9309
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW111783
CA
Other
Enumeration date
01/22/2013
Last updated
11/30/2023
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