Individual
ALEJANDRA LAUREL DE AVELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2495 W MARCH LN STE 125, STOCKTON, CA 95207-8224
(209) 320-7664
Mailing address
2495 W MARCH LN STE 125, STOCKTON, CA 95207-8224
(209) 320-7664
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ACSW126404
CA
Other
Enumeration date
09/18/2023
Last updated
11/12/2024
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