Individual
JELENA AVDALOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, ACSW
Contact information
Practice address
9412 BIG HORN BLVD, ELK GROVE, CA 95758-1101
(916) 226-2800
Mailing address
9412 BIG HORN BLVD, ELK GROVE, CA 95758-1101
(831) 241-2287
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW82714
CA
Other
Enumeration date
07/07/2018
Last updated
07/07/2018
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