Individual
ANNIE STATHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 E 120TH ST, LOS ANGELES, CA 90059-3052
(310) 668-4272
Mailing address
15323 ERMANITA AVE, GARDENA, CA 90249-3909
(424) 287-8012
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
118972
CA
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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