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MISS REGINA AN

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

Registrant NPI Number: 1487848164

Individual Registrant:
MISS REGINA  AN 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1515 W MISSION RD  ALHAMBRA, CA 91803 US
Tel: 626-943-3416  Fax: --

Contact information for business:
1515 W MISSION RD  ALHAMBRA, CA 91803-1618 US
Tel: 626-943-3416  Fax: --

Registration Information:
NPI: 1487848164
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CALCS26730

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DMH STAFF CODEICAN773CA01




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