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Individual

ANNE M YATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 528-6411
Mailing address
9455 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92123-1297

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104100000X
Social Worker
9489-120
WI
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
LCS75387
CA

Other

Enumeration date
03/29/2010
Last updated
02/28/2018
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