Individual
GER LOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 S ST, SACRAMENTO, CA 95811-6919
(209) 235-7222
Mailing address
401 S ST, SACRAMENTO, CA 95811-6919
(209) 235-7222
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW105336
CA
104100000X
Social Worker
—
—
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/29/2014
Last updated
12/01/2021
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