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Marylou Beban, M.S.W.

Social Worker, Clinical in Vallejo, CA. Individual provider (NPI-1).

NPI number1659433720
StatusActive
Last updated in NPPESNov 29, 2007

Details

NPI
1659433720
Entity type
Individual (NPI-1)
Name
Marylou Beban
Credential
M.S.W.
Sex
Female
Sole proprietor
No
Enumeration date
Dec 15, 2006
Last updated
Nov 29, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalLCS24185CAYes

Practice location

800 Sereno Drive
Vallejo, CA 94589

Phone 707-651-1050

Mailing address

1074 67th St
Oakland, CA 94608-1212

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