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DEQULTIA ALLISON MSW
>> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1124144613
Individual Registrant: DEQULTIA ALLISON MSW
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
2640 INDUSTRY WAY LYNWOOD, CA 90262-4284 US
Tel: 310-639-5983 Fax: 310-639-5870
Tel: 310-639-5983 Fax: 310-639-5870
Contact information for business:
2640 INDUSTRY WAY LYNWOOD, CA 90262-4284 US
Tel: 310-639-5983 Fax: --
Tel: 310-639-5983 Fax: --
Registration Information:
NPI: 1124144613
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 104100000X | Behavioral Health & Social Service Providers Social Worker | CA | ASW33526 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
