Individual
ANTONIO ELLORIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
16111 PLUMMER ST, C/O GOLD TEAM, BUILDING #200, NORTH HILLS, CA 91343-2036
(818) 891-7711
Mailing address
16111 PLUMMER ST, C/O GOLD TEAM, BUILDING #200, NORTH HILLS, CA 91343-2036
(818) 891-7711
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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