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Individual

ANDREA IRVINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2425 SAMARITAN DR, SAN JOSE, CA 95124-3908
(408) 559-2011
Mailing address
2425 SAMARITAN DR, SAN JOSE, CA 95124-3908
(408) 483-9388

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW28956
CA

Other

Enumeration date
08/14/2020
Last updated
11/08/2021
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