Jacqueline Louise Callis LCSW

NPI 1376622308 - Social Worker - 1041C0700X

NPI Details
NPI 1376622308
Gender Female
Enumeration Date 11/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
921 E COMPTON BLVD FL 1
COMPTON CA, 90221-3303, US
Phone (310) 668-6858
Fax
Business Location
229 REGENT CIR
INGLEWOOD CA, 90301-1323, US
Phone (310) 674-0797
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State California
License Number LCS18812
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According to our database, Mrs. Jacqueline Louise Callis LCSW NPI is 1376622308, taxonomy code is 1041C0700X and license number is LCS18812, license state is located at California. Jacqueline Louise Callis LCSW physically located at 921 E Compton Blvd Fl 1, Compton CA, 90221-3303. NPI Number Jacqueline Louise Callis LCSW has the Individual type.

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1376622308 NPI number is provided on an as is basis without warranty of any kind. 1376622308 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqueline Louise Callis LCSW are for informational purposes only.