Individual
ANDREA AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14112 S KINGSLEY DR, GARDENA, CA 90249-3018
(310) 217-7312
Mailing address
2860 E FLAMINGO RD STE D, LAS VEGAS, NV 89121-5270
(702) 202-0291
(702) 444-7982
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
87635
CA
Other
Enumeration date
06/03/2016
Last updated
03/12/2021
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