Provider Demographics
NPI:1952488009
Name:PAPAZIAN, MAURA MARIE (LSW,MSW)
Entity Type:Individual
Prefix:MS
First Name:MAURA
Middle Name:MARIE
Last Name:PAPAZIAN
Suffix:
Gender:F
Credentials:LSW,MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 S. BEACON ST.
Mailing Address - Street 2:
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90803-7706
Mailing Address - Country:US
Mailing Address - Phone:310-984-3055
Mailing Address - Fax:
Practice Address - Street 1:921 S. BEACON ST.
Practice Address - Street 2:
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90803-7706
Practice Address - Country:US
Practice Address - Phone:310-984-3055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW008744L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical