Danielle Spark, Lcsw | |
1712 Picasso Ave Ste A Davis CA 95618-0546 | |
(530) 219-1114 | |
Not Available |
Full Name | Danielle Spark, Lcsw |
---|---|
Speciality | Social Worker - Clinical |
Location | 1712 Picasso Ave Ste A, Davis, California |
Authorized Official Name and Position | Danielle Spark (LCSW) |
Authorized Official Contact | 5302191114 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Danielle Spark, Lcsw 1712 Picasso Ave Ste A Davis CA 95618-0546 Ph: (530) 219-1114 | Danielle Spark, Lcsw 1712 Picasso Ave Ste A Davis CA 95618-0546 Ph: (530) 219-1114 |
NPI Number | 1215471321 |
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Provider Enumeration Date | 12/07/2016 |
Last Update Date | 12/10/2020 |
Certification Date | 12/10/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215471321 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 65609 (California) | Primary |
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