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Individual

SUZETTE VEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10018 DOWNEY SANFORD BRIDGE RD, DOWNEY, CA 90240-3556
(562) 659-0622
Mailing address
PO BOX 1066, DOWNEY, CA 90240-0066
(562) 267-9721

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5681
CA
103TS0200X
School Psychologist
190013380
CA

Other

Enumeration date
11/04/2020
Last updated
11/04/2020
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