Individual
MRS. ALLISA CRYSTAL DAQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10660 WHITE OAK AVE, SUITE C, GRANADA HILLS, CA 91344-5943
(818) 832-1420
Mailing address
10660 WHITE OAK AVE, SUITE C, GRANADA HILLS, CA 91344-5943
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS18437
CA
Other
Enumeration date
10/11/2006
Last updated
05/15/2014
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