Individual
MISS ANDREA NEDA ANJOMSHOAA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 HAVILAND HALL SPC 7400, BERKELEY, CA 94720-7400
(510) 642-4341
Mailing address
2784 MCALLISTER ST, SAN FRANCISCO, CA 94118-4115
(626) 488-1700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
80921
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80291
LCSW
CA
Enumeration date
09/16/2008
Last updated
04/29/2019
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