Individual
AZAD GALUSTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
919 1ST ST, SAN FERNANDO, CA 91340-2957
(818) 256-1124
Mailing address
919 1ST ST, SAN FERNANDO, CA 91340-2957
(818) 256-1124
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW77648
CA
Other
Enumeration date
08/06/2008
Last updated
04/12/2021
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