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Provider Information for 1982432951


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DENICE ELIZABETH VALDEZ LCSW


Sex: Female

NPI: 1982432951
Last Updated: 2024-07-22
Certification Date: 2024-07-22

Details

NameValue
NPI1982432951
Enumeration Date2024-07-22
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 290 DRIFTWOOD PL
BRAWLEY, CA 92227-1542
United States

Phone: 760-556-9663 | Fax:
 
Primary Practice Address 64 BAY DR
BAY POINT, CA 94565-1438
United States

Phone: 760-556-9663 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalCA120322