MRS. Irenne Magoulas, L.C.S.W.

NPI #1558543975 in Sebastopol, California

Provider Information

NPI Number
1558543975
Entity Type
Individual
Name
MRS. Irenne Magoulas, L.C.S.W.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
L.C.S.W.
Enumeration Date
Nov 27, 2007
Last Updated
Nov 27, 2007

Practice Location

Address
2264 GREEN HILL RD
ZIP Code
95472-9034
Phone
(707) 823-5019

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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