Individual provider · NPI-1

Edgar Becerra, MSW

Social Worker · Indio, CA

NPI number1356742571
StatusActive
Last updated in NPPESJul 24, 2016

Details

NPI
1356742571
Entity type
Individual (NPI-1)
Name
Mr. Edgar Becerra
Credential
MSW
Sex
Male
Sole proprietor
No
Enumeration date
Sep 7, 2014
Last updated
Jul 24, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker61905CAYes

Practice location

47915 Oasis St
Indio, CA 92201-6950

Phone 760-863-8600

Mailing address

47915 Oasis St
Indio, CA 92201-6950

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