| First-gen Therapy, Licensed Clinical Social Worker, Prof. Corp | |
|
884 Daffodil Dr Vacaville CA 95687-7681 | |
| (707) 229-1377 | |
| Not Available |
| Full Name | First-gen Therapy, Licensed Clinical Social Worker, Prof. Corp |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 884 Daffodil Dr, Vacaville, California |
| Authorized Official Name and Position | Mara Sammartino (OWNER) |
| Authorized Official Contact | 5625877409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First-gen Therapy, Licensed Clinical Social Worker, Prof. Corp 607 Elmira Rd # 355 Vacaville CA 95687-4655 Ph: (707) 229-1377 | First-gen Therapy, Licensed Clinical Social Worker, Prof. Corp 884 Daffodil Dr Vacaville CA 95687-7681 Ph: (707) 229-1377 |
| NPI Number | 1851049787 |
|---|---|
| Provider Enumeration Date | 03/10/2022 |
| Last Update Date | 03/10/2023 |
| Certification Date | 03/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851049787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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