Individual
MS. EVANGELINA LIGONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
946 CALLE BRUSCA, THOUSAND OAKS, CA 91360-2327
(805) 375-1368
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW 1128
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW 1128
SOCIAL WORK
ID
Enumeration date
06/27/2007
Last updated
07/08/2007
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