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Contact Information

MIRANDA L AGESON, MSW
10929 SOUTH ST STE 208B
CERRITOS, CA90703-5391
 Phone: 562-865-6444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for MIRANDA L AGESON · (Female)

NPI Number 1326662727
Status Active
Credentials MSW (Master of Science in Social Work)
Entity Individual
Enumeration date 06/01/2020
Last updated 09/08/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 103760
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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