Individual
MISS BLANCA GABRIELA SALCEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7707 S. AUSTIN ROAD, STOCKTON, CA 95215-8312
(209) 518-1705
Mailing address
7707 AUSTIN RD, STOCKTON, CA 95215-8312
(209) 467-2500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
36730
CA
1041C0700X
Clinical Social Worker
Primary
LCSW76042
CA
Other
Enumeration date
08/19/2013
Last updated
10/20/2022
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