| Jenny Raz Licensed Clinical Social Worker | |
|
13902 Olive Mesa Ct Poway CA 92064-3952 | |
| (619) 981-7101 | |
| Not Available |
| Full Name | Jenny Raz Licensed Clinical Social Worker |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 13902 Olive Mesa Ct, Poway, California |
| Authorized Official Name and Position | Jenny Raz (PRESIDENT) |
| Authorized Official Contact | 6199817101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenny Raz Licensed Clinical Social Worker Po Box 502204 San Diego CA 92150-2204 Ph: (619) 981-7101 | Jenny Raz Licensed Clinical Social Worker 13902 Olive Mesa Ct Poway CA 92064-3952 Ph: (619) 981-7101 |
| NPI Number | 1578238366 |
|---|---|
| Provider Enumeration Date | 08/12/2021 |
| Last Update Date | 08/12/2021 |
| Certification Date | 08/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578238366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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