Individual
AYSE ERTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1031 25TH ST, SAN DIEGO, CA 92102-2102
(619) 708-4380
Mailing address
1031 25TH ST, SAN DIEGO, CA 92102-2102
(619) 708-4380
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
128843
CA
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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