Individual
ANNA LOUISA NIETO GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8902 WOODMAN AVE, ARLETA, CA 91331-6401
(818) 830-7133
Mailing address
8902 WOODMAN AVE, ARLETA, CA 91331-6401
(818) 830-7133
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS12787
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083624423
—
CA
05
—
1538130893
—
CA
05
—
1770696023
—
CA
Enumeration date
11/10/2011
Last updated
11/10/2011
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