Individual
CAROLINA ANA MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
940 AVENUE 64, PASADENA, CA 91105
(323) 254-2274
(323) 254-9087
Mailing address
940 AVENUE 64, PASADENA, CA 91105
(323) 254-2274
(323) 254-9087
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW
CA
104100000X
Social Worker
Primary
ASW33365
CA
Other
Enumeration date
08/30/2012
Last updated
07/18/2013
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