ILIA MIRKIN

SAN PABLO, CA
NPI1396178968
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CA  82847)
Enumeration Date2013-08-18
Last Update Date2024-07-01
Business Address
ILIA MIRKIN
13585 SAN PABLO AVE FIRST FLOOR
SAN PABLO, CA 94806
Phone number: 510-942-4600
Mailing Address
ILIA MIRKIN
400 ANZA ST APT 404
SAN FRANCISCO, CA 94118-4390
Phone number: 415-275-2496
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