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Organization
CENTELLA LICENSED CLINICAL SOCIAL WORKER INC
Active
Organization
CENTELLA LICENSED CLINICAL SOCIAL WORKER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA TAFOLLA RIOS LCSW (FOUNDER)
(707) 324-1828
Entity
Organization
Contact information
Practice address
727 BROADWAY ST # 124, VALLEJO, CA 94590-3305
(707) 324-1828
Mailing address
727 BROADWAY ST # 124, VALLEJO, CA 94590-3305
(707) 324-1828
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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