Individual
JESICA LORENA IXTLAHUAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3740
(310) 836-1223
Mailing address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3740
(323) 742-4276
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
ASW119408
CA
1041S0200X
School Social Worker
Primary
ASW119408
CA
Other
Enumeration date
04/01/2024
Last updated
05/06/2024
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