MEDINA DAUTOVIC

SAN MATEO, CA
NPI1972001899
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CA  113769)
Additional Taxonomies101YM0800X Counselor Mental Health
104100000X Social Worker
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA  ASW89224)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-01-25
Last Update Date2023-02-24
Business Address
MEDINA DAUTOVIC
2600 S EL CAMINO REAL
SAN MATEO, CA 94403-2380
Phone number: 650-578-8691
Mailing Address
MEDINA DAUTOVIC
2600 S EL CAMINO REAL
SAN MATEO, CA 94403-2380
Phone number: