Facts
- Status
- A
- Credential
- L.C.S.W.
- Type
- Individual
- Enumeration date
- 2015-07-02
- Last updated
- 2015-07-02
Specialties
Licenses
- License CA
- LCS 24553
Location
- Practice location
- 13442 BRACKEN ST
- City
- ARLETA CA
- Postal code
- 913315707
- Phone
- 213-618-0322
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.