Individual
ALLEGRA KATHRYN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3001 INTERNATIONAL BLVD, OAKLAND, CA 94601-2203
(510) 433-8600
Mailing address
590 MERRITT AVE APT 3, OAKLAND, CA 94610-5106
(831) 234-7781
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98720602G87193
—
CA
Enumeration date
09/05/2017
Last updated
09/05/2017
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