Individual
ALYSSA DEVIVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
5718 BRAILEN DR, MOSELEY, VA 23120-2336
(213) 588-5969
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
096673
NY
1041C0700X
Clinical Social Worker
Primary
LCSW101243
CA
Other
Enumeration date
12/15/2016
Last updated
12/01/2023
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