Most Relevant Information
Provider Data
| NPI Number: | 1003209826 |
| Provider Name: | MARIANA GUMM ASW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 61321 |
Most Important Dates
| Enumeration Date: | 03/18/2015 |
| Last Updated: | 03/18/2015 |
Provider Practice Location
1140 MAIN ST
LIVINGSTON
CA
953341257
Practice Location Phone/Fax
| Phone: | 2093947913 |
| Fax: | 2093943660 |
Provider Mailing Location
1140 MAIN ST
LIVINGSTON
CA
953341257
Provider Mailing Phone/Fax
| Phone: | 2093947913 |
| Fax: | 2093943660 |