Individual
ANA LISSETH ESTRADA-WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14112 S KINGSLEY DR, GARDENA, CA 90249-3018
(310) 217-7312
Mailing address
14112 S KINGSLEY DR, GARDENA, CA 90249-3018
(310) 217-7312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
98906
CA
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/31/2015
Last updated
08/08/2023
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