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Individual
ROSA MADRIGAL-GUZMAN
Active
Individual
ROSA MADRIGAL-GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 26985
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW 26985
PROFESSIONAL LICENSE
CA
01
—
ZZZ91892Z
SANTA CRUZ COUNTY MEDICARE GROUP#
CA
01
—
ZZZ92069Z
SANTA CRUZ COUNTY MEDICARE GROUP#
CA
Enumeration date
07/02/2007
Last updated
06/24/2011
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