Individual
MS. DARA LYNN KERKORIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2180 JOHNSON AVE # NA, SAN LUIS OBISPO, CA 93401-4558
(805) 781-4100
Mailing address
2180 JOHNSON AVE # NA, SAN LUIS OBISPO, CA 93401-4558
(805) 781-4100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
118382
CA
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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