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Individual

JENNIFER KARINA BASULTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, ASW

Contact information

Practice address
14535 WHITTIER BLVD, WHITTIER, CA 90605-2130
(562) 907-5900
Mailing address
1041 GILWOOD AVE, LA PUENTE, CA 91744-2122
(626) 465-6920

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
108825
CA

Other

Enumeration date
09/08/2021
Last updated
10/10/2025
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