Individual
DESIREE ANN LEVEIRA-FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
290 IOOF AVE, GILROY, CA 95020-5204
(408) 846-2467
Mailing address
290 IOOF AVE, GILROY, CA 95020-5204
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW120803
CA
Other
Enumeration date
02/20/2024
Last updated
02/22/2024
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