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1083225734
ANDREA IRVINE
SAN JOSE, CA
NPI
1083225734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW28956)
Enumeration Date
2020-08-14
Last Update Date
2021-11-08
Business Address
ANDREA IRVINE LCSW
2425 SAMARITAN DR
SAN JOSE, CA 95124-3908
Phone number: 408-559-2011
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Mailing Address
ANDREA IRVINE LCSW
2425 SAMARITAN DR
SAN JOSE, CA 95124-3908
Phone number: 408-483-9388
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