Individual
DARRELL ALLEN STALEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
480 CHADBOURNE RD, FAIRFIELD, CA 94534-9639
(510) 317-1444
Mailing address
480 CHADBOURNE RD, FAIRFIELD, CA 94534-9639
(510) 317-1444
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
03/06/2025
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