Individual
AZUCENA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 VALE TERRACE DR, VISTA, CA 92084-5218
(760) 631-5000
Mailing address
PO BOX 621, 3774 MISSION AVE, OCEANSIDE, CA 92068-0621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
98304
CA
Other
Enumeration date
12/10/2020
Last updated
09/28/2021
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