| In-home Therapeutic Services Of Slo | |
|
1788 Donna Ave Los Osos CA 93402-2014 | |
| (805) 441-8843 | |
| (805) 528-6401 |
| Full Name | In-home Therapeutic Services Of Slo |
|---|---|
| Speciality | Social Worker |
| Location | 1788 Donna Ave, Los Osos, California |
| Authorized Official Name and Position | Arthur Wayne Frederick (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8054418843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| In-home Therapeutic Services Of Slo Po Box 6477 Los Osos CA 93412-6477 Ph: (805) 441-8843 | In-home Therapeutic Services Of Slo 1788 Donna Ave Los Osos CA 93402-2014 Ph: (805) 441-8843 |
| NPI Number | 1669773313 |
|---|---|
| Provider Enumeration Date | 11/11/2010 |
| Last Update Date | 11/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669773313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | LCS10732 (California) | Primary |
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