Individual
MS. ANGELA WASTRACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1835 EL CAJON BLVD, STE A, SAN DIEGO, CA 92103-2591
(858) 514-4688
Mailing address
1835 EL CAJON BLVD, STE A, SAN DIEGO, CA 92103-2591
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS15626
CA
Other
Enumeration date
02/01/2007
Last updated
11/06/2018
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