Individual
ELISA SEQUEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
6061 EAST AVE, ETIWANDA, CA 91739-2224
(909) 357-1345
Mailing address
6061 EAST AVE, ETIWANDA, CA 91739-2224
(909) 357-1345
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
119316
CA
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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