| Jenny Vladimirov | |
|
2142 Roosevelt Ave Burlingame CA 94010-5606 | |
| (650) 391-3085 | |
| Not Available |
| Full Name | Jenny Vladimirov |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2142 Roosevelt Ave, Burlingame, California |
| Authorized Official Name and Position | Evgeniya Vladimirov (LCSW) |
| Authorized Official Contact | 4157295886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenny Vladimirov 2142 Roosevelt Ave Burlingame CA 94010-5606 Ph: (650) 391-3085 | Jenny Vladimirov 2142 Roosevelt Ave Burlingame CA 94010-5606 Ph: (650) 391-3085 |
| NPI Number | 1346970373 |
|---|---|
| Provider Enumeration Date | 06/13/2022 |
| Last Update Date | 10/09/2022 |
| Certification Date | 09/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346970373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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