Most Relevant Information
Provider Data
| NPI Number: | 1003393422 |
| Provider Name: | ELIZABETH MAGID MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/27/2018 |
| Last Updated: | 12/23/2020 |
Provider Practice Location
3230 KERNER BLVD
SAN RAFAEL
CA
949014840
Practice Location Phone/Fax
| Phone: | 4154736769 |
| Fax: |
Provider Mailing Location
3230 KERNER BLVD
SAN RAFAEL
CA
949014840
Provider Mailing Phone/Fax
| Phone: | 4157984364 |
| Fax: |