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General NPI Number Information
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NPI Number | 1669993895
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Entity Type | Individual
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Provider Name | LETICIA VACA WILLIAMS LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/28/2017
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 6116 LA SALLE AVE STE 208
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City | OAKLAND
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State | CA
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Zip | 94611-2802
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Country | US
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Telephone | 510-369-5909
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Fax |
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Provider Business Mailing Address
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Address Line | 3569 LYON AVE
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City | OAKLAND
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State | CA
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Zip | 94601-3839
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Country | US
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Telephone | 510-367-4785
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 77386
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License Number State | CA
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