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Organization

DEPT OF VETERANS AFFAIRS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANNETTE M WEARY CMSW (CLINICAL SOCIAL WORKER)
(310) 478-3711
Entity
Organization

Contact information

Practice address
11301 WILSHIRE BLVD, BLDG 500, LOS ANGELES, CA 90073-1003
(310) 478-3711
(310) 268-4398
Mailing address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
(310) 268-4398

Taxonomy

Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
CSW0000006383
TN

Other

Enumeration date
08/30/2006
Last updated
08/08/2008
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