Most Relevant Information
Provider Data
| NPI Number: | 1003520313 |
| Provider Name: | CHARESSE DEL SHAWNDRA BRANCH |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 91474 |
Most Important Dates
| Enumeration Date: | 01/11/2023 |
| Last Updated: | 01/19/2023 |
Provider Practice Location
3154 DARKWOOD ST
LANCASTER
CA
935364727
Practice Location Phone/Fax
| Phone: | 6616099147 |
| Fax: |
Provider Mailing Location
3154 DARKWOOD ST
LANCASTER
CA
935364727
Provider Mailing Phone/Fax
| Phone: | 6616099147 |
| Fax: |