Individual
AUDREY SOPHIA JARAHZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1901 1ST AVE STE 104, SAN DIEGO, CA 92101-0300
(310) 770-2431
Mailing address
9740 CAMPO RD STE 1015, SPRING VALLEY, CA 91977-1415
(310) 770-2431
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
80391
CA
Other
Enumeration date
01/28/2022
Last updated
04/08/2022
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