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MR. ANDREW MARCUS DELGADO LCSW

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

Registrant NPI Number: 1518368331

Individual Registrant:
MR. ANDREW MARCUS DELGADO LCSW
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3750 ROHNERVILLE ROAD  FORTUNA, CA 95540 US
Tel: 707-725-6101  Fax: 707-725-2978

Contact information for business:
PO BOX 1045  ARCATA, CA 95518-1045 US
Tel: 707-572-9440  Fax: --

Registration Information:
NPI: 1518368331
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N104100000XBehavioral Health & Social Service Providers
Social Worker
ORL6320
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
CALCSW87293
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
ORL6320

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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