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Miranda Beau Buxton

Social Worker in San Leandro, CA. Individual provider (NPI-1).

NPI number1891127361
StatusActive
Last updated in NPPESJan 3, 2022

Details

NPI
1891127361
Entity type
Individual (NPI-1)
Name
Miranda Beau Buxton
Sex
Female
Sole proprietor
No
Enumeration date
Aug 6, 2013
Last updated
Jan 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes
101Y00000X Counselor––

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Phone 510-317-1444

Mailing address

2275 Arlington Dr
San Leandro, CA 94578-1132

Phone 510-317-1444

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