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Zenus Earl Dismukes

Social Worker in Los Angeles, CA. Individual provider (NPI-1).

NPI number1467367201
StatusActive
Last updated in NPPESOct 6, 2026

Details

NPI
1467367201
Entity type
Individual (NPI-1)
Name
Zenus Earl Dismukes
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 17, 2026
Certification date
Oct 6, 2026
Last updated
Oct 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker137348CAYes

Practice location

12021 Wilmington Ave
Los Angeles, CA 90059-3019

Phone 310-981-7861

Mailing address

12021 Wilmington Ave
Los Angeles, CA 90059-3019

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