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Individual

MRS. ELAINE LOUISE SEGAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
12821 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-3012
(818) 984-1380
Mailing address
19137 VISTA GRANDE WAY, NORTHRIDGE, CA 91326-1230
(818) 984-1380

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW17262
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SW17262
CA
Enumeration date
02/14/2007
Last updated
07/09/2007
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