Ian Fetterolf, MA, MSW

NPI #1043736358 in La Jolla, California

Provider Information

NPI Number: 1043736358
Entity Type: Individual
Name: Ian Fetterolf, MA, MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: MA, MSW
Enumeration Date: Aug 17, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 7777 FAY AVE STE 205
City: La Jolla
State: California
ZIP Code: 92037-4324
Phone: (415) 646-4506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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