Individual
ELAINE ESTACIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4101 W 161ST ST, LAWNDALE, CA 90260-2732
(808) 372-6331
Mailing address
PO BOX 1133, LAWNDALE, CA 90260-6033
(808) 372-6331
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1854
HI
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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