Provider Demographics
NPI:1346490588
Name:CEJA, ELIZABETH M (MSW)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:M
Last Name:CEJA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:39959 SIERRA HWY
Mailing Address - Street 2:SUITE150
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-3313
Mailing Address - Country:US
Mailing Address - Phone:661-223-5413
Mailing Address - Fax:661-273-9357
Practice Address - Street 1:39959 SIERRA HWY
Practice Address - Street 2:SUITE 150
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-3313
Practice Address - Country:US
Practice Address - Phone:661-223-5413
Practice Address - Fax:661-273-9357
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical