Individual
CHERSTEN AZEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
177 W HENDERSON AVE STE 1, PORTERVILLE, CA 93257-1777
(559) 687-0929
Mailing address
177 W HENDERSON AVE STE 1, PORTERVILLE, CA 93257-1777
(595) 784-0312
(559) 784-5827
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
120723
CA
Other
Enumeration date
05/02/2023
Last updated
05/16/2024
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