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KARIISA ANNE CARRASCO LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1679764559

Individual Registrant:
 KARIISA ANNE CARRASCO LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
40 E MINARETS AVE  PINEDALE, CA 93650-1239 US
Tel: 559-436-0482  Fax: --

Contact information for business:
40 E MINARETS AVE  PINEDALE, CA 93650-1239 US
Tel: 559-436-0482  Fax: --

Registration Information:
NPI: 1679764559
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CA35204
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
CA80824

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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