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MS. STEPHANIE A. ANDRE L.C.S.W.
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1073781969
Individual Registrant:MS. STEPHANIE A. ANDRE L.C.S.W.
Gender: F
Not Sole Proprietor
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: --
Tel: 916-240-3044 Fax: --
Contact information for business:
5828 FORD RD ROCKLIN, CA 95765-4302 US
Tel: 916-412-6787 Fax: --
Tel: 916-412-6787 Fax: --
Registration Information:
NPI: 1073781969
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | CA | 26878 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
