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Individual

CAITLIN ELISE TAYLOR DETTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
380 ENCINAL ST STE 200, SANTA CRUZ, CA 95060-2178
(831) 469-1700
(831) 425-1905
Mailing address
380 ENCINAL ST STE 200, SANTA CRUZ, CA 95060-2178
(831) 469-1700
(831) 425-1905

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW128495
CA
1041C0700X
Clinical Social Worker
ASW128495
CA
172V00000X
Community Health Worker
372600000X
Adult Companion
ASW128495
CA

Other

Enumeration date
09/06/2023
Last updated
05/13/2025
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