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Individual

BARBARA JEAM WACKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ACSW

Contact information

Practice address
600 A ST, DAVIS, CA 95616-3649
(530) 757-5534
(530) 757-5533
Mailing address
2305 IRMA WAY, SACRAMENTO, CA 95825-3506
(916) 568-7318
(530) 757-5533

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ACSW 18962
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18962
ACSW NUMBER
CA
Enumeration date
03/12/2007
Last updated
07/08/2007
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