Individual
ANGELA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11031 VIA FRONTERA STE C, SAN DIEGO, CA 92127-1709
(858) 385-0700
Mailing address
11031 VIA FRONTERA STE C, SAN DIEGO, CA 92127-1709
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 26234
CA
Other
Enumeration date
02/15/2011
Last updated
07/09/2014
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