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BEVERLY DENISE CORONA LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1811497027
Individual Registrant: BEVERLY DENISE CORONA LCSW
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
12100 MONTECITO RD UNIT 162 ROSSMOOR, CA 90720-5851 US
Tel: 310-993-7943 Fax: --
Tel: 310-993-7943 Fax: --
Contact information for business:
12100 MONTECITO RD UNIT 162 ROSSMOOR, CA 90720-5851 US
Tel: 310-993-7943 Fax: --
Tel: 310-993-7943 Fax: --
Registration Information:
NPI: 1811497027
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | CA | LCSW76155 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
