Delise N Fair
Delise N Fair is a Social Worker in Berkeley, California. Licensed in Georgia and South Carolina. Registered with an NPI since 2023.
- Licensed in
- GA, SC
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
2150 Shattuck AveBerkeley, CA 94704-1345
Phone: (757) 768-0882
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence MSW011146 (GA) |
|---|---|
| Social Worker | Taxonomy 104100000X · Licence 15865 (SC) |
Record details
| NPI number | 1184327587 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 24, 2023 |
| Last updated in NPPES | March 24, 2023 |
| Certification date | March 24, 2023 |
| Mailing address | Psc 473 Box 1155, Fpo, AP 96349-0012 |
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