Individual
GOLNAZ AGAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4201 W CHAPMAN AVE, ORANGE, CA 92868-1505
(714) 748-6210
Mailing address
4201 W CHAPMAN AVE, ORANGE, CA 92868-1505
(714) 748-6210
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22386
CA
Other
Enumeration date
02/10/2011
Last updated
02/10/2011
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