Ingrid Stephanie Banuelos Valid NPI
Individual provider · Clinical Social Worker · Downey, CA
- NPI
- 1578815411
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 78438 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2012-10-02
- Last updated
- 2017-12-14
Practice location
7285 Quill Dr
Downey, CA 90242-2001
(562) 940-6077