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General NPI Number Information
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NPI Number | 1710147194
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Entity Type | Individual
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Provider Name | MARIBEL GUERRA LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 02/15/2023
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Provider Practice Location Address
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Address Line | 1875 W REDONDO BEACH BLVD STE 303
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City | GARDENA
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State | CA
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Zip | 90247-3644
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Country | US
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Telephone | 424-262-2099
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Fax |
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Provider Business Mailing Address
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Address Line | 8411 S DENKER AVE
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City | LOS ANGELES
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State | CA
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Zip | 90047-3114
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Country | US
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Telephone | 323-804-1521
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LCSW 61039
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License Number State | CA
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