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Organization
CHARLES RAY COCHRAN, LICENSED CLINICAL SOCIAL WORKER INC.
Active
Organization
CHARLES RAY COCHRAN, LICENSED CLINICAL SOCIAL WORKER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES RAY COCHRAN JR. LCSW (PRESIDENT)
(323) 627-7020
Entity
Organization
Contact information
Practice address
2812 AVENEL ST, LOS ANGELES, CA 90039-2047
(323) 627-7020
Mailing address
2436 HIDALGO AVE, LOS ANGELES, CA 90039-3306
(323) 627-7020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
03/31/2026
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