Individual
MRS. GENEVA MARIE GANDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11512 B AVE, AUBURN, CA 95603-2605
(916) 872-6528
Mailing address
11512 B AVE, AUBURN, CA 95603-2605
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
264531
CA
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
09/13/2023
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