Individual
GUADALUPE DE LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E 13TH ST STE D, MERCED, CA 95341-6211
(209) 386-1096
Mailing address
301 E 13TH ST STE D, MERCED, CA 95341-6211
(209) 386-1096
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW133800
CA
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/22/2022
Last updated
12/23/2025
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