Individual
ANNA VETCHINKINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10515 BALBOA BLVD, 376, GRANADA HILLS, CA 91344-6343
(818) 488-3837
Mailing address
10515 BALBOA BLVD, 376, GRANADA HILLS, CA 91344-6343
(818) 488-3837
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 23467
CA
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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