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MS. STEPHANIE A. ANDRE L.C.S.W.

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

Registrant NPI Number: 1073781969

Individual Registrant:
MS. STEPHANIE A. ANDRE L.C.S.W.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5342 DUDLEY BLVD # 98  MCCLELLAN, CA 95652-1012 US
Tel: 916-240-3044  Fax: --

Contact information for business:
5828 FORD RD  ROCKLIN, CA 95765-4302 US
Tel: 916-412-6787  Fax: --

Registration Information:
NPI: 1073781969
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CA26878

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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