Jimesha Wagoner

NPI # 

Practice Address:

840 N Avenue 66

Los Angeles, CA, 90042-1508

Practice Phone:

626-395-7100

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Social Worker

Taxonomy Code:

104100000X

Updated by NPPES on 7/16/2025. You can view the original data set for NPI # 1023837333 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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Jimesha Wagoner 's

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Jimesha Wagoner 's

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