Individual
ALICIA AVILA OUTCALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3990 OLD TOWN AVE, SUITE C 203, SAN DIEGO, CA 92110-2930
(858) 344-9440
(619) 297-3716
Mailing address
3990 OLD TOWN AVE, SUITE C 203, SAN DIEGO, CA 92110-2930
(858) 344-9440
(619) 297-3716
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS19899
CA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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