Individual
DEQULTIA ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2640 INDUSTRY WAY, LYNWOOD, CA 90262-4284
(310) 639-5983
(310) 639-5870
Mailing address
2640 INDUSTRY WAY, LYNWOOD, CA 90262-4284
(310) 639-5983
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW33526
CA
Other
Enumeration date
03/22/2007
Last updated
05/01/2013
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