VIRGINIA LILLIAN DURIVAGE

LONG BEACH, CA
NPI1265780449
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  27476)
Enumeration Date2012-08-20
Last Update Date2012-08-20
Business Address
Ms. VIRGINIA LILLIAN DURIVAGE LCSW
3424 E 4TH ST
LONG BEACH, CA 90814-1557
Phone number: 562-852-1044
Mailing Address
Ms. VIRGINIA LILLIAN DURIVAGE LCSW
3424 E 4TH ST
LONG BEACH, CA 90814-1557
Phone number: 562-852-1044