Individual
ANGELICA CRISTINA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
406 W STANDLEY ST, UKIAH, CA 95482-4348
(707) 621-1538
Mailing address
6 TARMAN DR, CLOVERDALE, CA 95425-3932
(707) 894-4229
(707) 894-2954
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW26456
CA
1041C0700X
Clinical Social Worker
26456
CA
Other
Enumeration date
04/24/2007
Last updated
12/17/2013
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