Individual
EDLIN VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1263 MISSION ST, SAN FRANCISCO, CA 94103-2705
(628) 222-9797
(415) 514-6466
Mailing address
2116 ARLINGTON AVE STE 100, LOS ANGELES, CA 90018-1353
(323) 334-9000
(323) 334-4437
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/09/2019
Last updated
12/13/2023
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