Joanne Carol Etheridge LCSW

NPI 1003111717 - Social Worker - 1041C0700X

NPI Details
NPI 1003111717
Gender Female
Enumeration Date 01/11/2011
Last Updated 01/11/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
31625 HIGHWAY 101 S
SOLEDAD CA, 93960-9529, US
Phone (831) 678-5500
Fax
Business Location
31625 HIGHWAY 101 S
SOLEDAD CA, 93960-9529, US
Phone (831) 678-5500
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State California
License Number LCS 8855
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According to our database, Ms. Joanne Carol Etheridge LCSW NPI is 1003111717, taxonomy code is 1041C0700X and license number is LCS 8855, license state is located at California. Joanne Carol Etheridge LCSW physically located at 31625 Highway 101 S, Soledad CA, 93960-9529. NPI Number Joanne Carol Etheridge LCSW has the Individual type.

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1003111717 NPI number is provided on an as is basis without warranty of any kind. 1003111717 is maintained by the National Plan & Provider Enumeration System. The contents of Joanne Carol Etheridge LCSW are for informational purposes only.