Individual
ANGELA RISTOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
901 MORAGA RD, LAFAYETTE, CA 94549-4596
(415) 322-0965
Mailing address
960 YORKSHIRE CT, LAFAYETTE, CA 94549-4623
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS23265
CA
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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