Shadduck, Anita

Shadduck, Anita is an sole proprietor health care provider with primary practice located at 9715 Guatemala Ave , Downey CA 90240-2039. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Shadduck, Anita can be contacted via phone (323) 254-2274.

Contact Information

Primary practice address
9715 Guatemala Ave Downey CA 90240-2039
Phone: (323) 254-2274
Fax: (323) 254-9087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 65621 California
Behavioral Health & Social Service Providers / Social Worker 104100000X ASW30809 California

Profile Details

NPI number 1982974663
LBN Legal business name Shadduck, Anita
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2012
Last updated Jan 30th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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