Pascale Vivyan Antor LCSW

NPI 1215076609 - Social Worker - 1041C0700X

NPI Details
NPI 1215076609
Gender Female
Enumeration Date 02/05/2007
Last Updated 08/28/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
3800 COOLIDGE AVE
OAKLAND CA, 94602-3311, US
Phone (510) 421-8436
Fax
Business Location
3800 COOLIDGE AVE
OAKLAND CA, 94602-3311, US
Phone (510) 421-8436
Fax (510) 485-5351
Toxanomy
Taxonomy Code 1041C0700X
License State California
License Number 29804
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According to our database, Pascale Vivyan Antor LCSW NPI is 1215076609, taxonomy code is 1041C0700X and license number is 29804, license state is located at California. Pascale Vivyan Antor LCSW physically located at 3800 Coolidge Ave, Oakland CA, 94602-3311. NPI Number Pascale Vivyan Antor LCSW has the Individual type.

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1215076609 NPI number is provided on an as is basis without warranty of any kind. 1215076609 is maintained by the National Plan & Provider Enumeration System. The contents of Pascale Vivyan Antor LCSW are for informational purposes only.