Mealani Smith Licensed Clinical Social Worker Pc | |
9240 Old Redwood Hwy Unit 200 Windsor CA 95492-9349 | |
(707) 494-6194 | |
Not Available |
Full Name | Mealani Smith Licensed Clinical Social Worker Pc |
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Speciality | Social Worker - Clinical |
Location | 9240 Old Redwood Hwy Unit 200, Windsor, California |
Authorized Official Name and Position | Mealani M Smith (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7074946194 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mealani Smith Licensed Clinical Social Worker Pc 328 Yates Dr Santa Rosa CA 95405-4705 Ph: (707) 494-6194 | Mealani Smith Licensed Clinical Social Worker Pc 9240 Old Redwood Hwy Unit 200 Windsor CA 95492-9349 Ph: (707) 494-6194 |
NPI Number | 1437994183 |
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Provider Enumeration Date | 06/26/2024 |
Last Update Date | 06/26/2024 |
Certification Date | 06/25/2024 |
Identifier | Type | State | Issuer |
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1437994183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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