Individual
SHERLEY PABUSTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 VINTAGE OAK AVE, GALT, CA 95632-3076
(209) 745-4614
Mailing address
905 VINTAGE OAK AVE, GALT, CA 95632-3076
(209) 745-4614
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
230081799
CA
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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