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DOREEN MARIA ARCHULETA
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1437700796
Individual Registrant: DOREEN MARIA ARCHULETA
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
3630 E IMPERIAL HWY LYNWOOD, CA 90262-2609 US
Tel: 310-900-9211 Fax: --
Tel: 310-900-9211 Fax: --
Contact information for business:
10756 LELAND AVE WHITTIER, CA 90605-3409 US
Tel: 714-423-4085 Fax: --
Tel: 714-423-4085 Fax: --
Registration Information:
NPI: 1437700796
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 | 16032 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 1245227180 | CA | 05 |
