Individual
LAURA GABRIELLA GUAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 PINE AVE, LONG BEACH, CA 90813-3124
(562) 595-1159
Mailing address
1301 PINE AVE, LONG BEACH, CA 90813-3124
(562) 595-1159
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
CA
Other
Enumeration date
06/15/2020
Last updated
08/21/2023
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