JEREMIAH RUSSELL DECKARD

SAN BERNARDINO, CA
NPI1326910993
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: CA  ASW132837)
Enumeration Date2025-09-22
Last Update Date2025-09-22
Business Address
Mr. JEREMIAH RUSSELL DECKARD MSW
1481 WINDSOR DR
SAN BERNARDINO, CA 92404-5416
Phone number: 909-361-6470
Mailing Address
Mr. JEREMIAH RUSSELL DECKARD MSW
162 TRADITION CT
CALIMESA, CA 92320-1160
Phone number: