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JENNIFER FALLMAN
>> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1891968418
Individual Registrant: JENNIFER FALLMAN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
5342 DUDLEY BLVD MAIL CODE 116 MCCLELLAN, CA 95652-1012 US
Tel: 916-561-7461 Fax: 916-561-7461
Tel: 916-561-7461 Fax: 916-561-7461
Contact information for business:
5342 DUDLEY BLVD MAIL CODE 116 MCCLELLAN, CA 95652-1012 US
Tel: 916-561-7461 Fax: 916-561-7471
Tel: 916-561-7461 Fax: 916-561-7471
Registration Information:
NPI: 1891968418
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 104100000X | Behavioral Health & Social Service Providers Social Worker |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
