STEPHANIE R GAXIOLA

ENCINO, CA
NPI1295004091
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  114657)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: IL  149012192)
Enumeration Date2011-12-22
Last Update Date2011-12-22
Business Address
Ms. STEPHANIE R GAXIOLA MSW, LCSW, LICSW, MP
16710 VENTURA BLVD #403
ENCINO, CA 91436-1713
Phone number: 415-694-8465
Mailing Address
Ms. STEPHANIE R GAXIOLA MSW, LCSW, LICSW, MP
16710 VENTURA BLVD #403
ENCINO, CA 91436-1713
Phone number: 415-694-8465