Individual
ALEXIS SAMUDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1220 E 4TH ST, LONG BEACH, CA 90802-1831
(562) 206-1681
Mailing address
1220 E 4TH ST, LONG BEACH, CA 90802-1831
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
29815
CA
Other
Enumeration date
10/13/2011
Last updated
08/31/2022
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