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Individual
VICTORIA ANN MCCULLOCH
Active
Individual
VICTORIA ANN MCCULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCS 16790
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC03884F
—
CA
05
—
FHC70593F
—
CA
01
—
LCS 16790
BBSE
CA
Enumeration date
11/21/2006
Last updated
01/14/2016
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