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Organization

GOLDEN STATE LICENSED CLINICAL SOCIAL WORKER INC.

Active
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Organization

GOLDEN STATE LICENSED CLINICAL SOCIAL WORKER INC.

Active
Other names
Golden State Psychotherapy
Organization subpart
No

Provider details

NPI number
Authorized official
ROXANNA SHAFIZADEH LCSW (LICENSED CLINICAL SOCIAL WORKER)
(714) 222-7786
Entity
Organization

Contact information

Practice address
3252 HOLIDAY CT STE 102, LA JOLLA, CA 92037-1807
(714) 222-7786
Mailing address
3252 HOLIDAY CT STE 102, LA JOLLA, CA 92037-1807
(714) 222-7786

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—

Other

Enumeration date
02/06/2025
Last updated
02/06/2025
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