| Ronda Shoemaker Lcsw | |
|
1920 Tienda Dr Ste 101 Lodi CA 95242-3931 | |
| (209) 712-9064 | |
| Not Available |
| Full Name | Ronda Shoemaker Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1920 Tienda Dr Ste 101, Lodi, California |
| Authorized Official Name and Position | Ronda Shoemaker (THERAPIST) |
| Authorized Official Contact | 2097129064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronda Shoemaker Lcsw 1920 Tienda Dr Ste 101 Lodi CA 95242-3931 Ph: (209) 712-9064 | Ronda Shoemaker Lcsw 1920 Tienda Dr Ste 101 Lodi CA 95242-3931 Ph: (209) 712-9064 |
| NPI Number | 1063044998 |
|---|---|
| Provider Enumeration Date | 02/08/2020 |
| Last Update Date | 02/08/2020 |
| Certification Date | 02/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063044998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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