Soraya Dustin, LCSW
Social Worker, Clinical in Bakersfield, CA. Individual provider (NPI-1).
NPI number1023601002
StatusActive
Last updated in NPPESFeb 19, 2021
Details
- NPI
- 1023601002
- Entity type
- Individual (NPI-1)
- Name
- Soraya Dustin
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2021
- Certification date
- Feb 2, 2021
- Last updated
- Feb 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW73945 | CA | Yes |
Practice location
4900 California AveTower B 2nd Fl
Bakersfield, CA 93309
Phone 901-422-7636
Mailing address
40 S Main St Ste 1300Memphis, TN 38103-5513
Phone 901-422-7636
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