Individual
MS. AJITA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
20721 LEMARSH ST UNIT E, CHATSWORTH, CA 91311-7385
(916) 400-0633
Mailing address
PO BOX 3663, CHATSWORTH, CA 91313-3663
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW79759
CA
Other
Enumeration date
08/18/2018
Last updated
05/23/2022
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