Individual
MS. ANA G AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
22211 FOOTHILL BLVD, HAYWARD, CA 94541-2712
(510) 598-7294
Mailing address
615 CENTRAL AVE APT 202, ALAMEDA, CA 94501-3839
(510) 355-7382
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
26252
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275860504
MENTAL HEALTH
CA
Enumeration date
11/06/2009
Last updated
05/04/2012
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