KEVIN FAUNTLEROY JR., MSW, ASW

Social Worker

Active Individual
NPI: 1114631611

Practice Address

280 17TH ST
Oakland, CA 94612

Phone: (510) 238-5020

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No -
Social Worker 104100000X Yes -

Frequently Asked Questions

NPI 1114631611 is the National Provider Identifier for KEVIN FAUNTLEROY JR., MSW, ASW, a Social Worker provider located in Oakland, CA. This NPI was enumerated on January 9, 2023.
KEVIN FAUNTLEROY JR., MSW, ASW practices at 280 17TH ST, Oakland, CA 94612.

Quick Facts

NPI
1114631611
Type
Individual
Enumerated
Jan 9, 2023
Last Updated
Dec 12, 2024

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