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Individual

MRS. ALEXANDRIA ELNORA HAGLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
22152 HART ST, CANOGA PARK, CA 91303-2323
(818) 422-2864
Mailing address
22152 HART ST, CANOGA PARK, CA 91303-2323
(818) 422-2864

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
76112
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36505
BBS ACSW REGISTRATION NUMBER
CA
Enumeration date
07/29/2013
Last updated
09/03/2024
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