Individual
MS. JUDITH ANNE ENGSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
5762 BOLSA AVE, SUITE 107, HUNTINGTON BEACH, CA 92649-1172
(714) 898-9858
Mailing address
PO BOX 1824, LAGUNA BEACH, CA 92652-1824
(949) 376-8623
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
LCS11556
CA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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