Basic Information
| Provider Information | |||||||||
| NPI: | 1952772204 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DELATORRE | ||||||||
| FirstName: | MARIELA | ||||||||
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| Credential: | MSW/ASW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4205 W FIGARDEN DR | ||||||||
| Address2: | |||||||||
| City: | FRESNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 937226051 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5592211680 | ||||||||
| FaxNumber: | 5592214336 | ||||||||
| Practice Location | |||||||||
| Address1: | 130 W GABILAN ST | ||||||||
| Address2: | |||||||||
| City: | SALINAS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939012762 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8317580181 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/13/2015 | ||||||||
| LastUpdateDate: | 01/11/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 78886 | CA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.