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Organization
DAZ & ASSOCIATES INC
Active
Organization
DAZ & ASSOCIATES INC
Active
Other names
DAZ Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLEN RONA KIMMEL LCSW (CLINICAL DIRECTOR)
(323) 447-8372
Entity
Organization
Contact information
Practice address
11500 W OLYMPIC BLVD, 400, LOS ANGELES, CA 90064-1524
(424) 239-6472
Mailing address
578 WASHINGTON BLVD, 815, MARINA DEL REY, CA 90292-5442
(323) 447-8372
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ASW27738
CA
1041C0700X
Clinical Social Worker
Primary
LCS11387
CA
Other
Enumeration date
02/03/2011
Last updated
11/27/2013
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