Individual
BAO VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 FRESNO ST, FRESNO, CA 93721-1722
(559) 457-6088
Mailing address
4879 E CESAR CHAVEZ BLVD, FRESNO, CA 93727-3811
(559) 722-8274
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
132441
CA
1041S0200X
School Social Worker
132441
CA
Other
Enumeration date
03/16/2021
Last updated
10/04/2025
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