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Individual

JEANIE AU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ASW

Contact information

Practice address
2804 CAMINO DOS RIOS STE 206, THOUSAND OAKS, CA 91320-1175
(805) 262-8291
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
(617) 807-0958

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
283Q00000X
Psychiatric Hospital
Primary

Other

Enumeration date
10/03/2023
Last updated
01/14/2026
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