Individual
AIDA MOJDEHIAZAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
146 N VISTA ST, LOS ANGELES, CA 90036-2710
(323) 251-3530
Mailing address
146 N VISTA ST, LOS ANGELES, CA 90036-2710
(323) 251-3530
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW106647
CA
Other
Enumeration date
08/18/2015
Last updated
03/28/2022
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