Individual
MR. JEREMIAH RUSSELL DECKARD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ASW
Contact information
Practice address
4344 LATHAM ST STE 119, RIVERSIDE, CA 92501-0400
(840) 888-5310
Mailing address
4344 LATHAM ST STE 119, RIVERSIDE, CA 92501-0400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW132837
CA
Other
Enumeration date
09/22/2025
Last updated
05/03/2026
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