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Organization
CENTERED SELF PSYCHOTHERAPY PC
Active
Organization
CENTERED SELF PSYCHOTHERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE WICKHAM (CO-FOUNDER)
(424) 999-5702
Entity
Organization
Contact information
Practice address
2001 S BARRINGTON AVE STE 215, LOS ANGELES, CA 90025-5385
(424) 999-5702
Mailing address
2001 S BARRINGTON AVE STE 215, LOS ANGELES, CA 90025-5385
(424) 999-5702
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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