Individual
EVIE MARIE GASSAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
480 E 13TH ST, MERCED, CA 95341-6214
(209) 381-6800
Mailing address
PO BOX 2087, MERCED, CA 95344-0087
(209) 381-6800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
117214
CA
Other
Enumeration date
04/19/2018
Last updated
09/19/2024
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