Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 3417 | HI |
NPI | 1003002668 |
---|---|
Provider Name | Deborah Rochelle-Artmann |
First Address | Oakland, CA 94610 |
Second Address | Berkley, CA 94705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2007 |
Last Update Date | 28/10/2019 |