Ajifu - Tully, Sara

Ajifu - Tully, Sara is an individual health care provider with primary practice located at 17100 Euclid St , Fountain Valley CA 92708-4004. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ajifu - Tully, Sara can be contacted via phone (714) 966-8171.

Contact Information

Primary practice address
17100 Euclid St Fountain Valley CA 92708-4004
Phone: (714) 966-8171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 80892 California

Profile Details

NPI number 1124528104
LBN Legal business name Ajifu - Tully, Sara
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2018
Last updated Oct 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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