Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 25598 | CA |
NPI | 1003117714 |
---|---|
Provider Name | Alexis Stricker |
First Address | Los Altos, CA 94022-1458 |
Second Address | San Francisco, CA 94102-6017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2010 |
Last Update Date | 18/12/2018 |