Gustavo Duran Sagredo LCS29204

NPI 1396865820 - Social Worker - 1041C0700X

NPI Details
NPI 1396865820
Gender Male
Enumeration Date 03/29/2007
Last Updated 10/07/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
333 S BEAUDRY AVE
SCHOOL MENTAL HEALTH-CCIS
LOS ANGELES CA, 90017-1466, US
Phone (213) 241-3841
Fax
Business Location
333 S BEAUDRY AVE
LOS ANGELES CA, 90017-1466, US
Phone (213) 241-3841
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State California
License Number LCS29204
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According to our database, Gustavo Duran Sagredo LCS29204 NPI is 1396865820, taxonomy code is 1041C0700X and license number is LCS29204, license state is located at California. Gustavo Duran Sagredo LCS29204 physically located at 333 S Beaudry Ave, Los Angeles CA, 90017-1466. NPI Number Gustavo Duran Sagredo LCS29204 has the Individual type.

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1396865820 NPI number is provided on an as is basis without warranty of any kind. 1396865820 is maintained by the National Plan & Provider Enumeration System. The contents of Gustavo Duran Sagredo LCS29204 are for informational purposes only.