Individual
JOSE L. MASCORRO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.S.W.
Contact information
Practice address
1000 SAN LEANDRO BLVD, SUITE 300, SAN LEANDRO, CA 94577-1598
(510) 725-2358
Mailing address
1000 SAN LEANDRO BLVD, SUITE 300, SAN LEANDRO, CA 94577-1598
(510) 725-2358
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW 21174
CA
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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