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Contact Information

LIZA V MARAVILLA, LCSW
900 QUEBEC AVENUE
CORCORAN, CA93212
 Phone: 559-992-7100
 Fax: 559-992-7104
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for LIZA V MARAVILLA · (Female)

NPI # 1124253588
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 05/28/2009
Last updated 05/28/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # LCS25244
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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