Individual
ANA IRIS VIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2512 ARTESIA BLVD STE 110, REDONDO BEACH, CA 90278-3265
(323) 230-0889
Mailing address
341 W HILLSDALE ST, INGLEWOOD, CA 90302-1121
(714) 452-7426
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
100716
CA
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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