Individual
BECKY SKOGLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1078 ATLANTIC AVE, LONG BEACH, CA 90813-3403
(562) 285-0149
Mailing address
516 ORIZABA AVE, LONG BEACH, CA 90814-1357
(562) 285-0149
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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