KSENIA USTINOVA

SOUTH LAKE TAHOE, CA
NPI1114694338
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  138685)
Enumeration Date2021-08-25
Last Update Date2026-06-25
Business Address
KSENIA USTINOVA LCSW
3079 HARRISON AVE #12 #118
SOUTH LAKE TAHOE, CA 96150
Phone number: 530-447-0253
Mailing Address
KSENIA USTINOVA LCSW
PO BOX 9683
SOUTH LAKE TAHOE, CA 96158-2683
Phone number: 916-248-9264
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