Individual
MRS. ALEXUS LAN NGO-AGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
12755 N HIGHWAY 88, LODI, CA 95240-9323
(209) 340-5800
Mailing address
3300 RENWICK AVE UNIT 2002, ELK GROVE, CA 95758-7493
(916) 686-1412
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
74135
CA
Other
Enumeration date
03/03/2007
Last updated
09/06/2013
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