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341 Broadway St Ste 223 Chico CA 95928-5355 | |
(530) 433-9745 | |
(530) 231-6380 |
Full Name | |
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Speciality | Social Worker - Clinical |
Location | 341 Broadway St Ste 223, Chico, California |
Authorized Official Name and Position | Teresa Diane Richman (OWNER, MANAGER) |
Authorized Official Contact | 5305926939 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1692 Mangrove Ave Pmb 136 Chico CA 95926-2648 Ph: (530) 592-6939 | 341 Broadway St Ste 223 Chico CA 95928-5355 Ph: (530) 433-9745 |
NPI Number | 1730960253 |
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Provider Enumeration Date | 10/10/2023 |
Last Update Date | 10/12/2023 |
Certification Date | 10/10/2023 |
Identifier | Type | State | Issuer |
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1730960253 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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