Individual
MS. BARBARA FRASER BANCHERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
884 3RD ST, SANTA ROSA, CA 95404-4533
(707) 526-3634
Mailing address
PO BOX 142, GLEN ELLEN, CA 95442-0142
(707) 526-3634
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS18832
CA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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