Individual
MS. ANUSHUA FARAH MALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTER
Contact information
Practice address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
(707) 784-4990
Mailing address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
(707) 784-4990
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28752
CA
Other
Enumeration date
01/08/2007
Last updated
07/11/2023
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