Individual
BIVIANA CALLEJA LAGUNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(323) 891-6417
Mailing address
2599 WALNUT AVE UNIT 339, SIGNAL HILL, CA 90755-3675
(949) 241-1127
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
77614
CA
1041C0700X
Clinical Social Worker
Primary
97595
CA
Other
Enumeration date
09/09/2015
Last updated
10/07/2021
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