Most Relevant Information
Provider Data
| NPI Number: | 1003529843 |
| Provider Name: | NATALIE ANNE INNOCENZI LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LCSW107626 |
Most Important Dates
| Enumeration Date: | 12/26/2022 |
| Last Updated: | 12/26/2022 |
Provider Practice Location
1118 NEWBY ST
GLENDALE
CA
912012209
Practice Location Phone/Fax
| Phone: | 6268180077 |
| Fax: |
Provider Mailing Location
1118 NEWBY ST
GLENDALE
CA
912012209
Provider Mailing Phone/Fax
| Phone: | 6268180077 |
| Fax: |