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General NPI Number Information
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NPI Number | 1972672376
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Entity Type | Individual
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Provider Name | LUCILLE NGO LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | LA COUNTY DMH - PRS AB109 PROGRAM 510 S VERMONT AVE., 22ND FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 90020-1912
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Country | US
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Telephone | 213-738-2877
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Fax |
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Provider Business Mailing Address
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Address Line | 1198 PACIFIC COAST HWY STE D-105
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City | SEAL BEACH
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State | CA
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Zip | 90740-6251
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Country | US
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Telephone | 213-598-1087
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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 | LCS 22644
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License Number State | CA
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