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Individual

DANIELLE MALKA REISBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3200 ADELINE ST, BERKELEY, CA 94703-2407
(510) 601-0203
Mailing address
3200 ADELINE ST, BERKELEY, CA 94703-2407
(510) 601-0203

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
115651
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/09/2022
Last updated
09/16/2024
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