Individual
ANA MARIA GRISALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3680 E IMPERIAL HWY, LYNWOOD, CA 90262-2659
(323) 769-7174
Mailing address
3680 E IMPERIAL HWY STE 220, LYNWOOD, CA 90262-2663
(323) 769-7174
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
119276
CA
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
03/17/2021
Last updated
12/05/2023
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