PHYLLIS FARMER

STOCKTON, CA
NPI1639899818
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AZ  20579)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: CA  79760)
Enumeration Date2022-08-30
Last Update Date2022-08-30
Business Address
PHYLLIS FARMER
3645 SHADOWBROOK DR
STOCKTON, CA 95219-1726
Phone number: 209-518-9789
Mailing Address
PHYLLIS FARMER
3645 SHADOWBROOK DR
STOCKTON, CA 95219-1726
Phone number: 209-518-9789