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Individual

LILA LOUIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P., L.C.S.W.

Contact information

Practice address
134 GOLDEN GATE AVE, SAN FRANCISCO, CA 94102-3810
(415) 673-5700
(415) 292-7140
Mailing address
134 GOLDEN GATE AVE, SAN FRANCISCO, CA 94102-3810
(415) 673-5700
(415) 292-7140

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCS17434
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
23360
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17434
LCSW
CA
01
23360
NP
CA
Enumeration date
04/06/2009
Last updated
11/05/2013
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