Individual
BETTY GUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1424 MADERA RD, SIMI VALLEY, CA 93065-3053
(805) 522-5722
(805) 915-4141
Mailing address
1040 FLYNN RD, CAMARILLO, CA 93012-5092
(805) 673-3930
(805) 659-3217
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW74554
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023199510
BEACON
CA
Enumeration date
10/18/2006
Last updated
07/21/2022
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