Individual
MS. ANNA ZOE WEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2851 CAMINO DEL RIO S STE 300, SAN DIEGO, CA 92108-3814
(619) 550-8477
Mailing address
2851 CAMINO DEL RIO S STE 300, SAN DIEGO, CA 92108-3814
(619) 550-8477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
79515
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79515
BOARD OF BEHAVIORAL SCIENCES
CA
Enumeration date
10/25/2017
Last updated
01/13/2021
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