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Individual

DENISE SWEENEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.A.

Contact information

Practice address
1339 20TH ST, SANTA MONICA, CA 90404-2033
(310) 829-8575
Mailing address
1339 20TH ST, SANTA MONICA, CA 90404-2033
(310) 829-8575

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
225400000X
Rehabilitation Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22
MENTAL HEALTH REHABILITATION SPECIALIST
CA
Enumeration date
02/04/2010
Last updated
08/02/2023
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