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Organization
CRISTINA
Active
Organization
CRISTINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINA MERCEDES COLLADA LCSW (LCSW)
(408) 499-9533
Entity
Organization
Contact information
Practice address
1210 S BASCOM AVE, SUITE 122, SAN JOSE, CA 95128-3543
(408) 499-9533
(408) 261-3627
Mailing address
1210 S BASCOM AVE, SUITE 122, SAN JOSE, CA 95128-3543
(408) 499-9533
(408) 261-3627
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS20435
CA
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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