Individual
HEATHER OBOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7580 SETON HALL ST, LA MESA, CA 91942-1706
(619) 806-1458
Mailing address
7580 SETON HALL ST, LA MESA, CA 91942-1706
(619) 806-1458
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
72274
CA
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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