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MARITZA AGUAYO ACSW

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1316460207

Individual Registrant:
 MARITZA  AGUAYO ACSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1635 W MAIN ST # 100  ALHAMBRA, CA 91801 US
Tel: 626-248-1800  Fax: --

Contact information for business:
1019 S FERRIS AVE  LOS ANGELES, CA 90022-3803 US
Tel: 323-425-2375  Fax: --

Registration Information:
NPI: 1316460207
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
CA83558

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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