Individual
CORINA MARIE ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 ALAMEDA STE 200, SAN MATEO, CA 94403-1293
(650) 509-7645
Mailing address
225 W 39TH AVE, SAN MATEO, CA 94403-4361
(650) 573-2037
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW110431
CA
Other
Enumeration date
04/24/2014
Last updated
08/08/2024
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