Individual
AILEEN UY-GURANGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4368 TOLAND WAY, LOS ANGELES, CA 90041-3431
(323) 552-3953
Mailing address
PO BOX 50888, LOS ANGELES, CA 90050-0888
(323) 552-3953
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW74580
CA
1041C0700X
Clinical Social Worker
Primary
LCS92155
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
06/05/2012
Last updated
12/28/2023
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