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Individual

ALYSON RAE DE LA ROSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4305 UNIVERSITY AVE STE 150, SAN DIEGO, CA 92105-1690
(858) 966-5484
Mailing address
3020 CHILDRENS WAY # MC5100, SAN DIEGO, CA 92123-4223
(858) 576-1700

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW110041
CA

Other

Enumeration date
08/31/2017
Last updated
04/24/2023
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