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Organization
ELLEN KOTKIN LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORP
Active
Organization
ELLEN KOTKIN LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN KOTKIN (CEO)
(949) 929-9244
Entity
Organization
Contact information
Practice address
16755 VON KARMAN AVE STE 200, IRVINE, CA 92606-4963
(949) 929-9244
Mailing address
16755 VON KARMAN AVE STE 200, IRVINE, CA 92606-4963
(949) 929-9244
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/24/2023
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