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Individual

ELISA A JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACSW

Contact information

Practice address
7190 W SUNSET BLVD # 7D, LOS ANGELES, CA 90046-4415
(323) 301-3962
Mailing address
2682 S PLEASANT AVE, ONTARIO, CA 91761-6798
(626) 660-8072

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
102017
CA

Other

Enumeration date
03/19/2025
Last updated
05/21/2025
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