Individual
MRS. ANNALIZA LAGRUTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8644
(209) 468-8866
Mailing address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8644
(209) 468-8866
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMF 38976
CA
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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