Individual
ALICIA GUAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 W OCEAN AVE, LOMPOC, CA 93436-5678
(805) 737-1169
(805) 737-1772
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8030
(805) 361-8097
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
100759
CA
Other
Enumeration date
10/05/2015
Last updated
09/02/2022
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