Individual
MS. ALIA LAUREN PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1742 GATESIDE DR, PETALUMA, CA 94954-3023
(707) 486-4064
Mailing address
1742 GATESIDE DR, PETALUMA, CA 94954-3023
(707) 486-4064
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27114
CA
Other
Enumeration date
12/19/2006
Last updated
01/03/2022
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