Individual
DESEREA B REVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
2330 GLENDALE LN, SUITE # 100, SACRAMENTO, CA 95825-2455
(530) 753-0220
Mailing address
2330 GLENDALE LN, SUITE # 100, SACRAMENTO, CA 95825-2455
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/09/2007
Last updated
12/09/2007
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