Individual
MRS. AYELLA MICHELLE MACLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2850 COMMERCIAL XING, SANTA CRUZ, CA 95065-1702
(831) 460-7350
Mailing address
2350 W EL CAMINO REAL FL 2, MOUNTAIN VIEW, CA 94040-6203
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
87026
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87026
LCSW
CA
Enumeration date
03/11/2019
Last updated
03/29/2019
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