Organization
OAKLAND UNIFIED SCHOOL DISTRICT
Active
Other names
Roosevelt Middle School CESDC
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE HIGGINS REIS LCSW (CLINICAL SUPERVISOR)
(510) 879-8391
Entity
Organization
Contact information
Practice address
1926 E 19TH ST, OAKLAND, CA 94606-4126
(510) 535-2877
Mailing address
1011 UNION ST, OAKLAND, CA 94607-2236
(510) 879-8391
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
CA
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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