Provider Information for 1710010988
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Miss LAQUITA SHANTA SUGGS LCSW
Sex: Female
NPI: 1710010988
Last Updated: 2024-10-29
Certification Date: 2024-10-29
Certification Date: 2024-10-29
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1710010988 | ||||||||||||||
| Enumeration Date | 2007-03-14 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 4500 E PACIFIC COAST HWY STE 320 LONG BEACH, CA 90804-3271 United States Phone: | Fax: | ||||||||||||||
| Primary Practice Address | 4500 E PACIFIC COAST HWY STE 320 LONG BEACH, CA 90804-3271 United States Phone: 925-282-1778 | Fax: | ||||||||||||||
| Secondary Practice Address(es) | PO BOX 6104 | ||||||||||||||
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