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General NPI Number Information
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NPI Number | 1982967410
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Entity Type | Individual
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Provider Name | LATASHA SAFFO LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/20/2012
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 1670 EAST 120TH ST BUILDING #14
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City | LOS ANGELES
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State | CA
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Zip | 90059
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Country | US
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Telephone | 424-338-2739
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Fax |
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Provider Business Mailing Address
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Address Line | 14920 EASTWOOD AVE # C
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City | LAWNDALE
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State | CA
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Zip | 90260-1723
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Country | US
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Telephone | 323-364-4278
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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 | 99008
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License Number State | CA
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