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NPI 1326315623

NPI 1326315623 : GABRIELA VASQUEZ LCSW : CERRITOS, CA

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General NPI Number Information
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    NPI Number           |    1326315623
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    Entity Type          |    Individual 
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    Provider Name        |    GABRIELA VASQUEZ LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/30/2011
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    Last Update Date     |    09/16/2025
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Provider Practice Location Address
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    Address Line         |    17707 STUDEBAKER RD STE 208 
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    City                 |    CERRITOS
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    State                |    CA
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    Zip                  |    90703-2640
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    Country              |    US
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    Telephone            |    323-241-6730
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    17707 STUDEBAKER RD # 208 
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    City                 |    CERRITOS
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    State                |    CA
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    Zip                  |    90703-2640
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    Country              |    US
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    Telephone            |    562-402-0677
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    75747
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    License Number State |    CA
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