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Organization
TAMARA DE ANGELIS LICENSED CLINICAL SOCIAL WORKER, INC.
Active
Organization
TAMARA DE ANGELIS LICENSED CLINICAL SOCIAL WORKER, INC.
Active
Parent organization
CHRYSALIS CLINICAL SOCIAL WORK
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHRYSALIS CLINICAL SOCIAL WORK
Authorized official
TAMARA DEANGELIS LCSW (OWNER)
(609) 338-2244
Entity
Organization
Contact information
Practice address
2272 COLORADO BLVD STE 1164, LOS ANGELES, CA 90041-1143
(323) 925-5279
Mailing address
2272 COLORADO BLVD STE 1164, LOS ANGELES, CA 90041-1143
(323) 925-5279
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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