Individual
MRS. AMIE LEANN RANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
169 MASON ST, UKIAH, CA 95482-4482
(707) 463-3300
Mailing address
169 MASON ST, UKIAH, CA 95482-4482
(707) 463-3300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
03/17/2023
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