Individual
BLANCA NAZARETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1505 N EDGEMONT ST, 1ST FLOOR, LOS ANGELES, CA 90027-5209
(323) 783-4371
(323) 783-6824
Mailing address
1505 N EDGEMONT ST, 1ST FLOOR, LOS ANGELES, CA 90027-5209
(323) 783-4371
(323) 783-6824
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
66907
CA
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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