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Organization
RITA ULATE LICENSED CLINICAL SOCIAL WORKER INC
Active
Organization
RITA ULATE LICENSED CLINICAL SOCIAL WORKER INC
Active
Other names
Outside the Lines Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
RITA ULATE LCSW (OWNER)
(909) 791-6615
Entity
Organization
Contact information
Practice address
1150 S OLIVE ST, LOS ANGELES, CA 90015-2211
(213) 205-1465
Mailing address
1150 S OLIVE ST, LOS ANGELES, CA 90015-2211
(213) 205-1465
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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