Individual
ANDREA MACKAY GODINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3020 CHILDREN'S WAY MC5100, SAN DIEGO, CA 92123
(858) 966-1700
(858) 966-8055
Mailing address
3020 CHILDREN'S WAY MC5100, SAN DIEGO, CA 92123
(858) 966-1700
(858) 966-8055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW19309
CA
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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