Marta Elena Reynoso LCSW

NPI 1003203944 - Social Worker - 1041C0700X

NPI Details
NPI 1003203944
Gender Female
Enumeration Date 04/17/2015
Last Updated 04/17/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
409 JACKSON ST
SUITE 200
HAYWARD CA, 94544-1530, US
Phone (510) 891-5650
Fax
Business Location
954 HELEN AVE
SAN LEANDRO CA, 94577-2128, US
Phone (510) 499-8944
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State California
License Number 28394
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According to our database, Marta Elena Reynoso LCSW NPI is 1003203944, taxonomy code is 1041C0700X and license number is 28394, license state is located at California. Marta Elena Reynoso LCSW physically located at 409 Jackson St, Hayward CA, 94544-1530. NPI Number Marta Elena Reynoso LCSW has the Individual type.

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1003203944 NPI number is provided on an as is basis without warranty of any kind. 1003203944 is maintained by the National Plan & Provider Enumeration System. The contents of Marta Elena Reynoso LCSW are for informational purposes only.