Individual
LUSINE GEVORGYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 W TOWN AND COUNTRY RD BLDG G, ORANGE, CA 92868-4716
(714) 645-8000
Mailing address
7436 EL CENTRO WAY, BUENA PARK, CA 90620-1711
(714) 822-8147
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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