Alic, Azra

Alic, Azra is an individual health care provider with primary practice located at 932 Santa Cruz Ave Ste A , Menlo Park CA 94025. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Alic, Azra can be contacted via phone (650) 603-0849.

Contact Information

Primary practice address
932 Santa Cruz Ave Ste A Menlo Park CA 94025
Phone: (650) 603-0849
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801094393 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 70823 California

Profile Details

NPI number 1134515331
LBN Legal business name Alic, Azra
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2015
Last updated Oct 23rd, 2019 - about 6 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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