| Tamara De Angelis Licensed Clinical Social Worker, Inc. | |
|
2272 Colorado Blvd Ste 1164 Los Angeles CA 90041-1143 | |
| (323) 925-5279 | |
| Not Available |
| Full Name | Tamara De Angelis Licensed Clinical Social Worker, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2272 Colorado Blvd Ste 1164, Los Angeles, California |
| Authorized Official Name and Position | Tamara Deangelis (OWNER) |
| Authorized Official Contact | 6093382244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara De Angelis Licensed Clinical Social Worker, Inc. 2272 Colorado Blvd Ste 1164 Los Angeles CA 90041-1143 Ph: (323) 925-5279 | Tamara De Angelis Licensed Clinical Social Worker, Inc. 2272 Colorado Blvd Ste 1164 Los Angeles CA 90041-1143 Ph: (323) 925-5279 |
| NPI Number | 1164199618 |
|---|---|
| Provider Enumeration Date | 08/24/2021 |
| Last Update Date | 08/24/2021 |
| Certification Date | 07/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164199618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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