Individual
ANITA SHADDUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9715 GUATEMALA AVE, DOWNEY, CA 90240-2039
(323) 254-2274
(323) 254-9087
Mailing address
9715 GUATEMALA AVE, DOWNEY, CA 90240-2039
(323) 254-9087
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
ASW30809
CA
1041C0700X
Clinical Social Worker
Primary
65621
CA
Other
Enumeration date
01/11/2012
Last updated
01/30/2024
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