Individual
MR. ALBERT VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1600 CALIFORNIA DRIVE, VACAVILLE, CA 95696
(707) 448-6841
Mailing address
1228 BROWNING DR, SACRAMENTO, CA 95815-2312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LIC23799
CA
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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