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Individual

ANGEL R. AGUILAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, ASW

Contact information

Practice address
801 EMPIRE ST, FAIRFIELD, CA 94533-5702
(707) 425-5744
Mailing address
801 EMPIRE ST, FAIRFIELD, CA 94533-5702
(707) 425-5744

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CA
1041C0700X
Clinical Social Worker
Primary
33872
CA

Other

Enumeration date
07/11/2012
Last updated
05/07/2013
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