Individual
ALICIA BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1827 E 103RD ST, LOS ANGELES, CA 90002-2928
(323) 242-5000
Mailing address
1827 E 103RD ST, LOS ANGELES, CA 90002-2928
(323) 242-5000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
99211
CA
Other
Enumeration date
09/12/2015
Last updated
12/21/2020
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