Most Relevant Information
Provider Data
NPI Number: | 1003025693 |
Provider Name: | SADAYA ZIMMERLE L.C.S.W., MSW |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | LCS 19879 |
Most Important Dates
Enumeration Date: | 05/21/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
2045 FAIRMONT DR
EDEN CSC
SAN LEANDRO
CA
945781088
Practice Location Phone/Fax
Phone: | 5106673913 |
Fax: | 5106677711 |
Provider Mailing Location
2045 FAIRMONT DR
EDEN CSC
SAN LEANDRO
CA
945781088
Provider Mailing Phone/Fax
Phone: | 5106673913 |
Fax: | 5106677711 |