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Individual
MISS VANESSA M. CRUZ
Active
Individual
MISS VANESSA M. CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
74974
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ICAN772
LOS ANGELES COUNTY DMH
CA
Enumeration date
08/31/2007
Last updated
12/16/2016
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