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Individual

MRS. ALICIA JULIA BECERRA MENDOZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
555 MIDDLEFIELD RD, PALO ALTO, CA 94301-2124
(650) 387-2138
Mailing address
965 COTTRELL WAY, STANFORD, CA 94305-1057
(650) 856-4226

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS18384
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
276296703
UBH
CA
Enumeration date
07/03/2007
Last updated
07/08/2007
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