Individual
ANGIE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
55 INDEPENDENCE CIR, STE 104, CHICO, CA 95973-4909
(530) 636-0511
Mailing address
PO BOX 9075, CHICO, CA 95927-9075
(530) 636-0511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
75903
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356500896
NPI
CA
Enumeration date
06/09/2008
Last updated
06/21/2022
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