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11230 Sorrento Valley Rd Ste 220 San Diego CA 92121-1300 | |
| (561) 315-5914 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11230 Sorrento Valley Rd Ste 220, San Diego, California |
| Authorized Official Name and Position | Elizabeth Strout (OWNER) |
| Authorized Official Contact | 5613155914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11230 Sorrento Valley Rd Ste 220 San Diego CA 92121-1300 Ph: (561) 315-5914 | 11230 Sorrento Valley Rd Ste 220 San Diego CA 92121-1300 Ph: (561) 315-5914 |
| NPI Number | 1689356818 |
|---|---|
| Provider Enumeration Date | 08/07/2023 |
| Last Update Date | 09/25/2023 |
| Certification Date | 09/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689356818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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