Basic Information
Provider Information
NPI: 1861774325
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAVARRO TURNER
FirstName: DOLORES
MiddleName: C
NamePrefix:  
NameSuffix:  
Credential: MSW, ASW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: NAVARRO
OtherFirstName: DOLORES
OtherMiddleName: C
OtherNamePrefix: MRS.
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 441 N MAIN ST
Address2:  
City: ALTURAS
State: CA
PostalCode: 961013457
CountryCode: US
TelephoneNumber: 5302336312
FaxNumber: 5302336339
Practice Location
Address1: 441 N MAIN ST
Address2:  
City: ALTURAS
State: CA
PostalCode: 961013457
CountryCode: US
TelephoneNumber: 5302336312
FaxNumber: 5302336339
Other Information
ProviderEnumerationDate: 09/12/2011
LastUpdateDate: 06/26/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
104100000X  Y Behavioral Health & Social Service ProvidersSocial Worker 

No ID Information.


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