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Individual

MISS ALI CARISSA JAKUBCZYK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
461 W WOODBURY RD UNIT 379, ALTADENA, CA 91001-5407
(626) 524-4209
Mailing address
461 W WOODBURY RD UNIT 379, ALTADENA, CA 91001-5407
(626) 524-4209

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
131246
CA

Other

Enumeration date
11/06/2025
Last updated
11/06/2025
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