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Organization
HEALING BLUE INC A LICENSED CLINICAL SOCIAL WORKER COPORATION
Active
Organization
HEALING BLUE INC A LICENSED CLINICAL SOCIAL WORKER COPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA MARTINEZ LCSW (OWNER)
(323) 351-3633
Entity
Organization
Contact information
Practice address
10315 WOODLEY AVE STE 215, GRANADA HILLS, CA 91344-6950
(818) 945-9075
Mailing address
16001 HORACE ST, GRANADA HILLS, CA 91344-5322
(323) 351-3633
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW80703
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80703
LCSW LICENSE
CA
Enumeration date
05/07/2018
Last updated
03/16/2023
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