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AUDREY YVONNE CORDOVA LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1366566770

Individual Registrant:
 AUDREY YVONNE CORDOVA LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
650 LIGHTHOUSE AVE STE 200  PACIFIC GROVE, CA 93950-2674 US
Tel: 831-293-7833  Fax: 831-208-3836

Contact information for business:
1311 SHAFTER AVE  PACIFIC GROVE, CA 93950-5528 US
Tel: 831-293-7833  Fax: 831-208-3836

Registration Information:
NPI: 1366566770
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CALCS24424

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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