Individual
MISS ANGELICA MONIQUE ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
525 21ST ST, OAKLAND, CA 94612-1605
(510) 587-3400
Mailing address
465 BUENA VISTA AVE APT 311, ALAMEDA, CA 94501-1954
(510) 228-2070
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
110684
CA
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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