Individual
AUXILIADORA BALTAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
144 S L ST, DINUBA, CA 93618-2323
(559) 591-6680
Mailing address
PO BOX 778, FOWLER, CA 93625-0778
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
CA
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
07/26/2022
Last updated
05/11/2023
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