Individual
CAROLINE MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1000 W CARSON ST., BOX 498, TORRANCE, CA 90509
(310) 222-4261
Mailing address
3111 S CAROLINA ST, SAN PEDRO, CA 90731-6734
(310) 833-6955
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCS19554
CA
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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