Individual
ANAHITA MAZDIYASSNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6529 CROWN BLVD STE D, SAN JOSE, CA 95120-2905
(408) 896-9064
Mailing address
16772 LITTLEFIELD LN, LOS GATOS, CA 95032-5634
(408) 896-9064
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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