Individual
ANDRE RICARDO VAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
PO BOX 555191, CAMP PENDLETON, CA 92055-5191
(760) 719-3312
Mailing address
PO BOX 555191, CAMP PENDLETON, CA 92055-5191
(760) 719-3312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW9676
FL
Other
Enumeration date
03/23/2010
Last updated
05/09/2024
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