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Individual
MARIA D VELASQUEZ
Active
Individual
MARIA D VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
81415
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81415
BBS
CA
Enumeration date
10/03/2012
Last updated
09/03/2020
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