Individual
ANNETTE CASILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13585 SAN PABLO AVE, SAN PABLO, CA 94805
(510) 231-9400
Mailing address
PO BOX 1268, EL CERRITO, CA 94530-1268
(951) 479-7131
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
118459
CA
Other
Enumeration date
04/04/2019
Last updated
10/17/2023
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