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Mayra Acevedo, LCSW

Social Worker, Clinical in Glendale, CA. Individual provider (NPI-1).

NPI number1851973648
StatusActive
Last updated in NPPESMay 1, 2023

Details

NPI
1851973648
Entity type
Individual (NPI-1)
Name
Mayra Acevedo
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Apr 22, 2021
Certification date
May 1, 2023
Last updated
May 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical100254CAYes
1041C0700X Social Worker, Clinical––

Practice location

1509 Wilson Ter
Glendale, CA 91206-4007

Phone 818-409-8121

Mailing address

760 Mountain View St
Altadena, CA 91001-4925

Phone 626-798-6793

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