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Organization subpart
No

Provider details

NPI number
Authorized official
AUTUMN KIANA CHAMBERS LCSW (FOUNDER/DIRECTOR)
(661) 202-2010
Entity
Organization

Contact information

Practice address
1030 W 76TH ST, LOS ANGELES, CA 90044-2408
(661) 271-2197
Mailing address
30 W CARTER DR APT 13-106, TEMPE, AZ 85282-7704
(661) 202-2010

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/08/2025
Last updated
05/08/2025
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