Individual
AMELIA ALEJANDRA AZZAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
75284
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-2633765
MEDI-CAL
CA
Enumeration date
08/19/2011
Last updated
02/08/2024
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