Provider Information for 1417285693
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EDNA SALCIDO LCSW
Sex: Female
NPI: 1417285693
Last Updated: 2021-12-06
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
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| NPI | 1417285693 | ||||||||||||||||
| Enumeration Date | 2009-11-25 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 815 N EL CENTRO AVE LOS ANGELES, CA 90038-3805 United States Phone: 323-627-8593 | Fax:310-886-5326 | ||||||||||||||||
| Primary Practice Address | 815 N EL CENTRO AVE LOS ANGELES, CA 90038-3805 United States Phone: 323-769-7178 | Fax:310-886-5326 | ||||||||||||||||
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