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NPI Code Detail

MEDICARE: LEAH B AGUIRRE LCSW

MEDICARE:   LEAH B AGUIRRE  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker74440CA

General Provider Information

NPI Number : 1306151998
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH B AGUIRRE LCSW
Provider Business Mailing Address
First Line : 3435 CAMINO DEL RIO S STE 122
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-3910
Country : US
Telephone Number : 858-248-2755
Fax Number :
Provider Business Practice Location Address
First Line : 3435 CAMINO DEL RIO S STE 122
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-3910
Country : US
Telephone Number : 619-248-2755
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2010
Last Update Date : 07/30/2024

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Directions to “ LEAH B AGUIRRE LCSW” Practice Location

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