Individual
ANGELA FAZIO-LANDRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1693 POLK ST STE 205, SAN FRANCISCO, CA 94109-3614
(707) 739-6336
Mailing address
PO BOX 40605, SAN FRANCISCO, CA 94140-0605
(707) 739-6336
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
59957
CA
Other
Enumeration date
10/12/2015
Last updated
10/05/2018
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