LA SHAWN MONIC MIGGINS

MARTINEZ, CA
NPI1790230902
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: CA  LCSW86031)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA  ASW 61703)
Enumeration Date2016-08-17
Last Update Date2024-09-26
Business Address
LA SHAWN MONIC MIGGINS LCSW
25 ALLEN STREET
MARTINEZ, CA 94553
Phone number: 707-315-8429
Mailing Address
LA SHAWN MONIC MIGGINS LCSW
1025 ROOSEVELT ST
FAIRFIELD, CA 94533-4431
Phone number: 707-315-8429