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Individual

EMILY AVILES

Active
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Individual

EMILY AVILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
68685
CA
104100000X
Social Worker
68685
CA
1041C0700X
Clinical Social Worker
Primary
92880
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other

Enumeration date
11/04/2014
Last updated
04/05/2021
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