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ANTONIO SERRANO LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1225652498

Individual Registrant:
 ANTONIO  SERRANO LCSW
Gender: M
Not Sole Proprietor

Location and contact information for practice:
4723 W MAIN ST STE H  GUADALUPE, CA 93434-1787 US
Tel: 805-343-5577  Fax: 805-343-5578

Contact information for business:
2050 S BLOSSER RD  SANTA MARIA, CA 93458-7310 US
Tel: 805-361-8017  Fax: 805-361-8097

Registration Information:
NPI: 1225652498
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CA94425

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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