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MARVA DIANE CONNOR LCSW

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

Registrant NPI Number: 1689811713

Individual Registrant:
 MARVA DIANE CONNOR LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
2500 W MANCHESTER BLVD  INGLEWOOD, AZ 90305 US
Tel: 323-750-5885  Fax: 323-750-5885

Contact information for business:
7025 FLIGHT AVE. #4 LOS ANGELES, CA 90045 US
Tel: 909-437-7822  Fax: --

Registration Information:
NPI: 1689811713
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CALCS8610

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AZ - Page 1

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