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Individual

DESHONNA PATRICE PRESCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
14515 HAMLIN ST STE 102, VAN NUYS, CA 91411-1694
(818) 989-7475
Mailing address
6531 VAN NUYS BLVD # 137, VAN NUYS, CA 91401-1425
(609) 321-0302

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
ASW136903
CA
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
02/09/2022
Last updated
05/15/2026
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