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General NPI Number Information
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NPI Number | 1174406482
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Entity Type | Organization
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Legal Business Name | JLSM LICENSE CLINICAL SOCIAL WORKER, INC.
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Dates
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Enumeration Date | 07/26/2025
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Last Update Date | 07/26/2025
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Provider Practice Location Address
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Address Line | 16600 WOODRUFF AVE # 312
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City | BELLFLOWER
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State | CA
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Zip | 90706-4916
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Country | US
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Telephone | 909-235-6237
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Fax |
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Provider Business Mailing Address
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Address Line | 10820 ALONDRA BLVD # 1092
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City | CERRITOS
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State | CA
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Zip | 90703-1502
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JHOANA L SARABIA MALDONADO
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Credential | LCSW
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Telephone | 424-789-0936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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