Individual
ESTIVALY MORENO I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
755 S VAN NESS AVE, SAN FRANCISCO, CA 94110-1908
(415) 642-4513
Mailing address
755 S VAN NESS AVE, SAN FRANCISCO, CA 94110-1908
(415) 642-4513
(415) 695-6961
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112143
CA
Other
Enumeration date
01/10/2017
Last updated
08/11/2023
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