Individual
MRS. ALINA ANUCCAVECH MIKOLAITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
916 N WESTERN AVE STE 205, SAN PEDRO, CA 90732-2435
(310) 957-2099
Mailing address
29504 WHITLEY COLLINS DR, RANCHO PALOS VERDES, CA 90275-4947
(323) 426-4342
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
92513
CA
Other
Enumeration date
08/31/2009
Last updated
03/24/2023
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