Miryam Duque
Social Worker, Clinical in Los Angeles, CA. Individual provider (NPI-1).
NPI number1164073672
StatusActive
Last updated in NPPESSep 28, 2026
Details
- NPI
- 1164073672
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Miryam Duque
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2019
- Certification date
- Sep 28, 2026
- Last updated
- Sep 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 142122 | CA | Yes |
Practice location
11601 S Western AveLos Angeles, CA 90047-5006
Phone 323-242-5000
Mailing address
11601 S Western AveLos Angeles, CA 90047-5006
Phone 323-242-5000
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