KAYLAN LICAUSI

BERKELEY, CA
NPI1184400285
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  117156)
Enumeration Date2023-09-05
Last Update Date2023-09-05
Business Address
KAYLAN LICAUSI ASW
3075 ADELINE ST STE 280
BERKELEY, CA 94703-2580
Phone number: 510-981-4100
Mailing Address
KAYLAN LICAUSI ASW
490 LAKE PARK AVE. #16172
OAKLAND, CA 94610
Phone number: 510-914-8884