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Guadalupe Madrid-Long

Social Worker in Costa Mesa, CA. Individual provider (NPI-1).

NPI number1083173876
StatusActive
Last updated in NPPESJul 29, 2025

Details

NPI
1083173876
Entity type
Individual (NPI-1)
Name
Guadalupe Madrid-Long
Sex
Female
Sole proprietor
No
Enumeration date
Mar 19, 2019
Certification date
Jul 29, 2025
Last updated
Jul 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker–CAYes

Practice location

2801 Bristol St
Costa Mesa, CA 92626-5996

Phone 949-745-1033

Mailing address

2801 Bristol St
Costa Mesa, CA 92626-5996

Phone 949-745-1033

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