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NPI Code Detail

MEDICARE: MARISSA ALVIDREZ ASW

MEDICARE: MARISSA ALVIDREZ 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
1104100000XSocial Worker115662CA

General Provider Information

NPI Number : 1477918027
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISSA ALVIDREZ ASW
Provider Business Mailing Address
First Line : 7701 PRISM WAY
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93313-5087
Country : US
Telephone Number : 661-677-3700
Fax Number :
Provider Business Practice Location Address
First Line : 7701 PRISM WAY
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93313-5087
Country : US
Telephone Number : 661-677-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2015
Last Update Date : 06/17/2024

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Directions to “ MARISSA ALVIDREZ ASW” Practice Location

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