Individual
MS. ANETA ANI SUKIASYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
529 MAPLE AVE, LOS ANGELES, CA 90013-1511
(213) 996-7300
Mailing address
P.O. BOX 9421, GLENDALE, CA 91226
(818) 434-3726
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
ASW24964
CA
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW 61920
CA
Other
Enumeration date
04/16/2007
Last updated
12/04/2014
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