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Organization
ORANGE COUNTY HEALTH CARE AGENCY
Active
Organization
ORANGE COUNTY HEALTH CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN RAE FONTAINE LCSW (LICENCED CLINICAL SOCIAL WORKER II)
(714) 480-6660
Entity
Organization
Contact information
Practice address
405 W 5TH ST, STE. 212, SANTA ANA, CA 92701-4519
(714) 480-6660
Mailing address
405 W 5TH ST, STE. 212, SANTA ANA, CA 92701-4519
(714) 480-6660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21177
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW21177
SOCIAL WORKER
CA
Enumeration date
08/31/2006
Last updated
08/22/2020
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