Sara Ajifu - Tully, LCSW Valid NPI
Individual provider · Clinical Social Worker · Fountain Valley, CA
- NPI
- 1124528104
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 80892 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2018-02-16
- Last updated
- 2021-10-25
Practice location
17100 Euclid St
Fountain Valley, CA 92708-4004
(714) 966-8171