Individual
ANDREA WOLPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 E LIVE OAK AVE, ARCADIA, CA 91006-5617
(626) 254-1400
Mailing address
330 E LIVE OAK AVE, ARCADIA, CA 91006-5617
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
953893470
DEPARTMENT OF MENTAL HEALTH
—
Enumeration date
09/03/2019
Last updated
09/03/2019
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