Individual
ATHENA RENEE PRATT-WATTENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CA ASW #120831
Contact information
Practice address
390 40TH STREET, OAKLAND, CA 94609
(510) 613-0330
(510) 569-4589
Mailing address
390 40TH STREET, OAKLAND, CA 94609
(510) 613-0330
(510) 569-4589
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
120831
CA
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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