Individual
MS. ANGELICA PRUYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW 27874
Contact information
Practice address
200 24TH ST, RICHMOND, CA 94804-1804
(510) 412-9200
Mailing address
200 24TH ST, RICHMOND, CA 94804-1804
(510) 412-9200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
04/21/2022
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