Individual
MRS. ALICIA ANN MACGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
2138 FAIRHILL DR, RANCHO PALOS VERDES, CA 90275-1310
(310) 508-9531
Mailing address
2138 FAIRHILL DR, RANCHO PALOS VERDES, CA 90275-1310
(310) 508-9531
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS21303
CA
Other
Enumeration date
11/06/2007
Last updated
06/23/2008
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