Individual
ANAI VIVANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2829 WATT AVE STE 200, SACRAMENTO, CA 95821-6245
(916) 418-0828
Mailing address
2829 WATT AVE STE 200, SACRAMENTO, CA 95821-6245
(916) 418-0828
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
09/20/2023
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