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Individual

MRS. ANNETTE MENCHACA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
17542 17TH ST STE 300, TUSTIN, CA 92780-1960
(714) 788-1376
Mailing address
17542 17TH ST STE 300, TUSTIN, CA 92780-1960
(714) 788-1376

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW66259
CA

Other

Enumeration date
06/01/2020
Last updated
11/27/2023
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