Theresa Agosto-Smart Valid NPI
Individual provider · Clinical Social Worker · Travis Afb, CA
- NPI
- 1346749330
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- LCSW-4385 (HI)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2018-02-06
- Last updated
- 2023-04-14
Practice location
101 Bodin Cir
Travis Afb, CA 94535-1809
(707) 423-5174