Mia Grajeda Willard, LCSW
NPI #1164896742 in San Clemente, California
Provider Information
- NPI Number
- 1164896742
- Entity Type
- Individual
- Name
- Mia Grajeda Willard, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Nov 19, 2015
- Last Updated
- Feb 15, 2025
Practice Location
- Address
- 3551 CAMINO MIRA COSTA STE T
- City
- San Clemente
- State
- California
- ZIP Code
- 92672-3508
- Phone
- (714) 394-3351
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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