Individual
AGNIESZKA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17242 SUNDERLAND DR, GRANADA HILLS, CA 91344-2357
(818) 309-7260
(818) 739-5690
Mailing address
17242 SUNDERLAND DR, GRANADA HILLS, CA 91344-2357
(818) 309-7260
(818) 739-5690
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 20234
CA
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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