NPI Search for Physicians and Health Care Providers
PHAEDRA ALLEN
>> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1063873305
Individual Registrant:
PHAEDRA ALLEN
Gender: F
Sole Proprietor
Location and contact information for practice:
5650 JILLSON ST COMMERCE, CA 90040-1482 US
Tel: 323-201-4516 Fax: --
Contact information for business:
5650 JILLSON ST COMMERCE, CA 90040-1482 US
Tel: 323-201-4516 Fax: --
Registration Information:
NPI: 1063873305
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 104100000X | Behavioral Health & Social Service Providers Social Worker
| CA | ASW69311 |
Legacy codes, insurance codes and state license numbers:
HEALTH CARE JOBS CA - Page 1