DELISE N FAIR

BERKELEY, CA
NPI1184327587
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: GA  MSW011146)
Additional Taxonomies104100000X Social Worker
(Licence: SC  15865)
Enumeration Date2023-03-24
Last Update Date2023-03-24
Business Address
DELISE N FAIR
2150 SHATTUCK AVE
BERKELEY, CA 94704-1345
Phone number: 757-768-0882
Mailing Address
DELISE N FAIR
PSC 473 BOX 1155
FPO, AP 96349-0012
Phone number: 407-412-3933