Grace R Roodbar, LCSW, PPSC
Social Worker, Clinical in Sacramento, CA. Individual provider (NPI-1).
NPI number1831938596
StatusActive
Last updated in NPPESMay 22, 2024
Details
- NPI
- 1831938596
- Entity type
- Individual (NPI-1)
- Name
- Grace R Roodbar
- Credential
- LCSW, PPSC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2024
- Certification date
- May 22, 2024
- Last updated
- May 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 113403 | CA | Yes |
Practice location
4600 BroadwaySacramento, CA 95820-1527
Phone 269-266-3138
Mailing address
4600 BroadwaySacramento, CA 95820-1527
Phone 269-266-3138
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