Individual
MS. COLLEEN BAXTER HERST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2275 ARLINGTON DR, SAN LEANDRO, CA 94578-1132
(510) 427-5372
Mailing address
3017 BEVERLY ST, SAN MATEO, CA 94403-3234
(650) 638-1543
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
ASW 20589
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8191
MEDI-CAL
CA
Enumeration date
11/14/2006
Last updated
07/08/2007
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