IAN STRAVINSKY

SAN DIEGO, CA
NPI1396152013
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  84393)
Enumeration Date2014-07-15
Last Update Date2020-10-15
Business Address
IAN STRAVINSKY LCSW
7850 VISTA HILL AVE
SAN DIEGO, CA 92123-2717
Phone number: 858-465-6284
Mailing Address
IAN STRAVINSKY LCSW
4231 BALBOA AVE # 3074
SAN DIEGO, CA 92117-5504
Phone number: 858-465-6284