Individual
ALICIA RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 W VICTORIA ST, GARDENA, CA 90248-3523
(103) 715-2020
Mailing address
108 W VICTORIA ST, GARDENA, CA 90248-3523
(103) 715-2020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
79040
CA
104100000X
Social Worker
79040
CA
1041C0700X
Clinical Social Worker
Primary
108019
CA
Other
Enumeration date
10/11/2016
Last updated
05/11/2022
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