Individual
AUTUMN KIANA CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42455 10TH ST W STE 103, LANCASTER, CA 93534-7060
(562) 228-7180
Mailing address
44055 47TH ST W, LANCASTER, CA 93536-2366
(661) 202-2010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
127740
CA
1041C0700X
Clinical Social Worker
Primary
127740
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-2633765
MEDI-CAL
CA
Enumeration date
05/21/2021
Last updated
12/26/2024
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