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Individual

ANGELITO POWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ASW

Contact information

Practice address
480 ALTA RD, SAN DIEGO, CA 92179-0001
(619) 661-8657
Mailing address
480 ALTA RD, SAN DIEGO, CA 92179-0001
(619) 661-6500

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
06/19/2024
Last updated
07/03/2025
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