Individual
MRS. JENNIFER XIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
12420 VENICE BLVD STE 200, LOS ANGELES, CA 90066-3841
(310) 751-1200
(310) 398-0312
Mailing address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
(310) 398-5690
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
77853
CA
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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