Individual
MARVA DIANE CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2500 W MANCHESTER BLVD, INGLEWOOD, AZ 90305
(323) 750-5885
(323) 750-5885
Mailing address
7025 FLIGHT AVE., #4, LOS ANGELES, CA 90045
(909) 437-7822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS8610
CA
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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