TRACY SCOTT-JEFFERSON

Residential Treatment Facility, Emotionally Disturbed Children

Active Individual
NPI: 1952431462

Practice Address

824 12TH ST
Oakland, CA 94607

Phone: (510) 251-2393

Specialties

Specialty Code Primary License
Residential Treatment Facility, Emotionally Disturbed Children 322D00000X Yes -

Frequently Asked Questions

NPI 1952431462 is the National Provider Identifier for TRACY SCOTT-JEFFERSON, a Residential Treatment Facility, Emotionally Disturbed Children provider located in Oakland, CA. This NPI was enumerated on March 6, 2007.
TRACY SCOTT-JEFFERSON practices at 824 12TH ST, Oakland, CA 94607.

Quick Facts

NPI
1952431462
Type
Individual
Enumerated
Mar 6, 2007
Last Updated
Jul 8, 2007

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