Individual
ELLEN MARY FARR PEULER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2100 5TH ST, DAVIS, CA 95618-6591
(916) 744-7007
Mailing address
8040 W HIDDEN LAKES DR, GRANITE BAY, CA 95746-6947
(916) 764-7007
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCS8324
CA
Other
Enumeration date
08/08/2006
Last updated
04/03/2012
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