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Individual
CHRISTINA ROSA VASQUEZ-LEIVA
Active
Individual
CHRISTINA ROSA VASQUEZ-LEIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW82547
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
82547
CA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
LCSW82547
CA
Other
Enumeration date
06/19/2012
Last updated
12/05/2022
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