Most Relevant Information
Provider Data
| NPI Number: | 1003696519 |
| Provider Name: | VALENCIA E BERNARD ACSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 115155 |
Most Important Dates
| Enumeration Date: | 10/02/2023 |
| Last Updated: | 10/02/2023 |
Provider Practice Location
1411 W 190TH ST STE 300
GARDENA
CA
902484325
Practice Location Phone/Fax
| Phone: | 3232492950 |
| Fax: |
Provider Mailing Location
1411 W 190TH ST STE 300
GARDENA
CA
902484325
Provider Mailing Phone/Fax
| Phone: | 3232492950 |
| Fax: |