Individual
ANGIE ITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1434 THIRD ST, SUITE 3D, NAPA, CA 94559-2891
(707) 322-1651
Mailing address
19 MOSS CT, NAPA, CA 94558-1978
(707) 322-1651
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 20951
CA
Other
Enumeration date
10/03/2006
Last updated
02/24/2009
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