GENA H NINIVAGGIO

VACAVILLE, CA
NPI1700011202
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS21793)
Enumeration Date2009-05-27
Last Update Date2011-08-09
Business Address
-- GENA H NINIVAGGIO LCSW
1600 CALIFORNIA DR
VACAVILLE, CA 95687
Phone number: 707-448-6841
Mailing Address
-- GENA H NINIVAGGIO LCSW
PO BOX 5401
WALNUT CREEK, CA 94596-1401
Phone number: 707-317-3208
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