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Individual
MRS. DIANA RAMIREZ FAJARDO
Active
Individual
MRS. DIANA RAMIREZ FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25503
CA
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
85008
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR1416
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
CA
Enumeration date
07/15/2013
Last updated
07/09/2019
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