Individual
GRACIE VIOLETA DUENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1722 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 366-4040
(805) 482-0987
Mailing address
751 E DAILY DR STE 310, CAMARILLO, CA 93010-6077
(805) 366-4040
(805) 482-0987
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW113405
CA
Other
Enumeration date
01/11/2022
Last updated
08/22/2024
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