Individual
ALI MARA CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
1266 14TH ST, OAKLAND, CA 94607-2205
(949) 923-7633
Mailing address
804 57TH ST, OAKLAND, CA 94608-2814
(949) 923-7633
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
09/13/2016
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