Individual
ANNA CECILIA RUEZGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1500 21ST ST, SACRAMENTO, CA 95811-5216
(916) 443-3299
Mailing address
1500 21ST ST, SACRAMENTO, CA 95811-5216
(916) 443-3299
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
59907
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ASW24876
LICENSE
CA
Enumeration date
02/17/2010
Last updated
12/09/2019
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