| Ltaa Licensed Clinical Social Worker, Pc | |
|
2339 3rd St Ste 50 San Francisco CA 94107-3194 | |
| (415) 521-6964 | |
| Not Available |
| Full Name | Ltaa Licensed Clinical Social Worker, Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2339 3rd St Ste 50, San Francisco, California |
| Authorized Official Name and Position | Lisa Abdilova Andresen (OWNER/PRESIDENT) |
| Authorized Official Contact | 4158903576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ltaa Licensed Clinical Social Worker, Pc 2339 3rd St Ste 50 San Francisco CA 94107-3194 Ph: (415) 521-6964 | Ltaa Licensed Clinical Social Worker, Pc 2339 3rd St Ste 50 San Francisco CA 94107-3194 Ph: (415) 521-6964 |
| NPI Number | 1184387839 |
|---|---|
| Provider Enumeration Date | 10/20/2021 |
| Last Update Date | 10/20/2021 |
| Certification Date | 10/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184387839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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