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NPI Code Detail

MEDICARE: MISS LETICIA ROMAN LCSW

MEDICARE: MISS LETICIA ROMAN 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 WorkerLCSW76930CA

General Provider Information

NPI Number : 1992050108
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LETICIA ROMAN LCSW
Provider Business Mailing Address
First Line : 595 E COLORADO BLVD STE 205
Second Line :
City : PASADENA
State : CA
Zip : 91101-2028
Country : US
Telephone Number : 626-214-5308
Fax Number :
Provider Business Practice Location Address
First Line : 595 E COLORADO BLVD STE 205
Second Line :
City : PASADENA
State : CA
Zip : 91101-2028
Country : US
Telephone Number : 626-214-5308
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2012
Last Update Date : 10/13/2023

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Directions to “ MISS LETICIA ROMAN LCSW” Practice Location

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