Individual
KA BAO LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
7777 SOUTH FREEDOM ROAD, FRENCH CAMP, CA 95231-4305
(209) 946-3400
Mailing address
7777 SOUTH FREEDOM ROAD STK 118, FRENCH CAMP, CA 95231-9693
(209) 463-3400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
62056
CA
104100000X
Social Worker
—
—
Other
Enumeration date
11/14/2007
Last updated
05/31/2022
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