Individual
DALE AYRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3689 FLORIDA ST, SAN DIEGO, CA 92104-3264
(760) 220-3391
Mailing address
3689 FLORIDA ST, SAN DIEGO, CA 92104-3264
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34118
CA
1041C0700X
Clinical Social Worker
68084
CA
1041C0700X
Clinical Social Worker
SW10413
FL
Other
Enumeration date
10/04/2012
Last updated
07/22/2022
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