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BEVERLY DENISE CORONA LCSW

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

Registrant NPI Number: 1811497027

Individual Registrant:
 BEVERLY DENISE CORONA LCSW
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: --

Contact information for business:
12100 MONTECITO RD UNIT 162  ROSSMOOR, CA 90720-5851 US
Tel: 310-993-7943  Fax: --

Registration Information:
NPI: 1811497027
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CALCSW76155

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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