Individual
ANNE DITIBERIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, PPSC
Contact information
Practice address
715 COLORADO AVE, SUITE A, PALO ALTO, CA 94303-3907
(650) 207-6694
Mailing address
PO BOX 60953, PALO ALTO, CA 94306-0953
(650) 207-6694
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
60579
CA
Other
Enumeration date
04/19/2014
Last updated
04/19/2014
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