| The Permanente Group | |
|
222 Weller St Petaluma CA 94952-3183 | |
| (202) 302-0617 | |
| Not Available |
| Full Name | The Permanente Group |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 222 Weller St, Petaluma, California |
| Authorized Official Name and Position | Marsha P Pierson (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7077766169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Permanente Group 101 2nd St Apt 310 Petaluma CA 94952-7405 Ph: (202) 302-0617 | The Permanente Group 222 Weller St Petaluma CA 94952-3183 Ph: (202) 302-0617 |
| NPI Number | 1548701485 |
|---|---|
| Provider Enumeration Date | 03/11/2017 |
| Last Update Date | 03/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548701485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 70835 (California) | Primary |
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