Most Relevant Information
Provider Data
| NPI Number: | 1003691122 |
| Provider Name: | CLARISSA RENEE' VINCENT ASW #107903 |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/28/2023 |
| Last Updated: | 08/28/2023 |
Provider Practice Location
334 VIA VERA CRUZ
SAN MARCOS
CA
920782635
Practice Location Phone/Fax
| Phone: | 7605093424 |
| Fax: |
Provider Mailing Location
200 MICHIGAN AVE
VISTA
CA
920845424
Provider Mailing Phone/Fax
| Phone: | 7605093424 |
| Fax: |