Individual
ALBERT R MEZISTRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
74 BARNES CT, APT 316, STANFORD, CA 94305
(206) 651-4069
Mailing address
700 EL CAMINO REAL STE 120, MENLO PARK, CA 94025-4884
(206) 651-4069
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW118091
CA
1041C0700X
Clinical Social Worker
Primary
LW61339056
WA
Other
Enumeration date
02/14/2018
Last updated
02/16/2024
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