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Individual

DYNA CREASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ASW

Contact information

Practice address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 613-0330
Mailing address
8495 PARDEE DR, P.O. BOX 6156, OAKLAND, CA 94621-5098
(510) 241-9031

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
128341
CA
104100000X
Social Worker
Primary
128341
CA
106S00000X
Behavior Technician
171M00000X
Case Manager/Care Coordinator
128341
CA
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
01/30/2020
Last updated
03/25/2025
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