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Individual

MRS. BARBARA DE SOTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5151 N PALM AVE STE 890, FRESNO, CA 93704-2208
(559) 226-4322
Mailing address
5151 N PALM AVE STE 890, FRESNO, CA 93704-2208
(559) 226-4322

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS14271
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LCS14271
LCSW LICENSE
CA
Enumeration date
04/25/2007
Last updated
07/08/2007
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