Most Relevant Information
Provider Data
| NPI Number: | 1003063512 |
| Provider Name: | SANDRA MAURA LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LCS 21503 |
Most Important Dates
| Enumeration Date: | 08/27/2008 |
| Last Updated: | 08/27/2008 |
Provider Practice Location
103 WAVECREST AVE
SANTA CRUZ
CA
950603020
Practice Location Phone/Fax
| Phone: | 8314255971 |
| Fax: | 8314255971 |
Provider Mailing Location
103 WAVECREST AVE
SANTA CRUZ
CA
950603020
Provider Mailing Phone/Fax
| Phone: | 8314255971 |
| Fax: | 8314255971 |