Individual
MRS. ANGELA SIPPIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
25333 BARTON RD RM 107, LOMA LINDA, CA 92350-0210
(909) 558-4000
Mailing address
25333 BARTON RD RM 107, LOMA LINDA, CA 92350-0210
(909) 558-4000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW97699
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
N/A
CA
Enumeration date
11/27/2020
Last updated
01/06/2021
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