Individual
ANASTACIA LYNN ESCOBOZA-HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
275 BAKER ST STE A, COSTA MESA, CA 92626-4566
(714) 361-6760
Mailing address
275 BAKER ST STE A, COSTA MESA, CA 92626-4566
(714) 361-6760
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
114337
CA
1041C0700X
Clinical Social Worker
Primary
114337
CA
Other
Enumeration date
10/06/2022
Last updated
07/18/2023
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