Individual
AMY KASSOWITZ ELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 MEDICAL PLAZA #2400, LOS ANGELES, CA 90095-8800
(310) 825-7469
Mailing address
300 MEDICAL PLAZA #2400, LOS ANGELES, CA 90095-0001
(310) 699-1739
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108460
CA
Other
Enumeration date
11/06/2019
Last updated
12/04/2023
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