Individual
SANDRA MACUILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10331 STANFORD AVE, GARDEN GROVE, CA 92840-6351
(714) 663-6000
Mailing address
10331 STANFORD AVE, GARDEN GROVE, CA 92840-6351
(714) 663-6000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ASW131384
CA
1041S0200X
School Social Worker
Primary
—
CA
Other
Enumeration date
10/17/2019
Last updated
05/15/2026
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