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Individual

ANDREA R ANZUETO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ACSW

Contact information

Practice address
12021 WILMINGTON AVE FL 2, LOS ANGELES, CA 90059-3019
(424) 454-5000
(424) 337-4037
Mailing address
20151 NORDHOFF ST, CHATSWORTH, CA 91311-6215
(818) 407-3200

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ASW90057
CA
1041C0700X
Clinical Social Worker
90057
CA

Other

Enumeration date
07/18/2014
Last updated
06/08/2023
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