| Ms Theres Luckose, | |
|
1 Main St, San Quentin, CA 94964-1000 | |
| (415) 454-1460 | |
| Not Available |
| Full Name | Ms Theres Luckose |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1 Main St, San Quentin, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255675781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 75515 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Theres Luckose, 37359 Chinaberry Cmn, Fremont, CA 94536-7924 Ph: (510) 796-1523 | Ms Theres Luckose, 1 Main St, San Quentin, CA 94964-1000 Ph: (415) 454-1460 |
Judy M. Wick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Main St, San Quentin, CA 94964 Phone: 415-454-1460 | |
Nina Bratcher, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Main St, San Quentin, CA 94964 Phone: 415-454-1460 | |
Simonetta Fosci, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Main St, San Quentin, CA 94964 Phone: 415-454-1460 | |
Jacob Demp Hutchens, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Main St, San Quentin, CA 94964 Phone: 415-454-1460 | |
Ms. Jennifer Zakroff, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Main St, Tcmp, San Quentin, CA 94964 Phone: 415-454-1460 |