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NPI Code Detail

MEDICARE: LETICIA ALVARADO B.S., M.S., MSW

MEDICARE: LETICIA ALVARADO B.S., M.S., MSW
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1720272792
Entity Type Code : Individual
Provider Name (Legal Business Name) : LETICIA ALVARADO B.S., M.S., MSW
Provider Business Mailing Address
First Line : PO BOX 480652
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-9252
Country : US
Telephone Number : 323-646-2930
Fax Number :
Provider Business Practice Location Address
First Line : 1342 S BONNIE BRAE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90006-5403
Country : US
Telephone Number : 213-351-5909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2007
Last Update Date : 04/09/2012

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