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Individual

DIANA BERRY-JASSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACSW

Contact information

Practice address
210 E ENOS DR, SANTA MARIA, CA 93454-7215
(805) 614-9160
Mailing address
2690 NORTHVIEW AVE, ARROYO GRANDE, CA 93420-6506
(760) 643-7807

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
122099
CA

Other

Enumeration date
01/27/2020
Last updated
06/12/2024
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