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Individual

ADELINA ALVAREZ JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
150 W HEDDING ST, CUSTODY MENTAL HEALTH, SAN JOSE, CA 95110-1706
(408) 808-5221
Mailing address
150 W HEDDING ST, CUSTODY MENTAL HEALTH, SAN JOSE, CA 95110-1706
(408) 808-5221

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS21396
CA

Other

Enumeration date
07/17/2007
Last updated
10/12/2007
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