Individual
MS. ANNA FAUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 PRISON RD, REPRESA, CA 95671-3000
(916) 985-8610
Mailing address
100 PRISON RD, REPRESA, CA 95671-3000
(916) 985-8610
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
32840
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/31/2013
Last updated
02/25/2022
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