Individual
MR. ANISETT JACQUES-WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SOCIAL WORK SERVICES, SAN DIEGO, CA 92161-0002
(858) 552-7475
Mailing address
6991 MISTTOP LOOP, FAIRBURN, GA 30213-3062
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
083577
NY
1041C0700X
Clinical Social Worker
72516
CA
Other
Enumeration date
08/30/2006
Last updated
05/06/2025
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