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Individual

MISS AZUCENA CERVANTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
333 S. BEAUDRY AVENUE, LOS ANGELES, CA 90017
(213) 241-3841
(213) 241-3305
Mailing address
333 S. BEAUDRY AVENUE, LOS ANGELES, CA 90017
(213) 241-3841
(213) 241-3305

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW36915
CA
104100000X
Social Worker
ASW36915
CA
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
LCSW101046
CA

Other

Enumeration date
09/14/2010
Last updated
11/19/2021
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