Individual
ANDREA MN PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
SJC BHS BACOP, 1149 EL DORADO STREET, STOCKTON, CA 95202
(209) 468-2337
(209) 953-7400
Mailing address
SJC BHS BACOP, 1149 EL DORADO STREET, STOCKTON, CA 95202
(209) 468-2337
(209) 953-7400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
69571
CA
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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