Individual
DERNESHIA MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SAINT VINCENTS DR, SAN RAFAEL, CA 94903-1504
(415) 272-5553
Mailing address
195 NOVA ALBION WAY APT 5, SAN RAFAEL, CA 94903-3512
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
GA
Other
Enumeration date
05/17/2017
Last updated
05/26/2017
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