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NPI Code Detail

MEDICARE: ISABEL BARAJAS ASW

MEDICARE: ISABEL BARAJAS ASW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerASW 14976CA

General Provider Information

NPI Number : 1467590380
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABEL BARAJAS ASW
Provider Business Mailing Address
First Line : 787 CINDEE LN
Second Line :
City : UKIAH
State : CA
Zip : 95482-5966
Country : US
Telephone Number : 707-472-2922
Fax Number : 707-462-1381
Provider Business Practice Location Address
First Line : 350 E GOBBI ST
Second Line :
City : UKIAH
State : CA
Zip : 95482-5511
Country : US
Telephone Number : 707-472-2922
Fax Number : 707-462-1381
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2007
Last Update Date : 11/30/2011

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Directions to “ ISABEL BARAJAS ASW” Practice Location

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