Individual
MRS. AUDREY K MOSQUERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 SUNNYHILLS DR, SAN ANSELMO, CA 94960-1909
(415) 457-3200
Mailing address
300 SUNNYHILLS DR, SAN ANSELMO, CA 94960-1909
(415) 457-3200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
66661
CA
104100000X
Social Worker
Primary
66661
CA
104100000X
Social Worker
—
—
Other
Enumeration date
02/12/2014
Last updated
11/06/2017
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