Individual
ELLEN AZEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 DIVISADERO ST STE 300, SAN FRANCISCO, CA 94117-2242
(415) 551-0975
Mailing address
425 DIVISADERO ST STE 300, SAN FRANCISCO, CA 94117-2242
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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