| Egs Licensed Clinical Social Worker Pc | |
|
4605 Buena Vista Road Ste 600 #714 Bakersfield CA 93311 | |
| (661) 390-9188 | |
| Not Available |
| Full Name | Egs Licensed Clinical Social Worker Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4605 Buena Vista Road Ste 600 #714, Bakersfield, California |
| Authorized Official Name and Position | Erin Gish-stiles (OWNER) |
| Authorized Official Contact | 6613909188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Egs Licensed Clinical Social Worker Pc 2108 N St Ste N Sacramento CA 95816-5712 Ph: (661) 390-9188 | Egs Licensed Clinical Social Worker Pc 4605 Buena Vista Road Ste 600 #714 Bakersfield CA 93311 Ph: (661) 390-9188 |
| NPI Number | 1245947696 |
|---|---|
| Provider Enumeration Date | 11/03/2022 |
| Last Update Date | 11/03/2022 |
| Certification Date | 11/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245947696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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