Individual
TIPADA CHAICHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 MUIR ROAD, HACIENDA BUILDING TRANSITIONS PROGRAM, MARTINEZ, CA 94553
(925) 372-1274
Mailing address
200 MUIR ROAD, HACIENDA BUILDING TRANSITIONS PROGRAM, MARTINEZ, CA 94553
(925) 372-1274
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
09/15/2009
Last updated
11/30/2021
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