Individual
CAITLIN G BROSIOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1926 BEVERLY BLVD, LOS ANGELES, CA 90057-2402
(214) 353-1140
Mailing address
1930 N VERMONT AVE APT 201, LOS ANGELES, CA 90027-1860
(847) 420-2514
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/25/2018
Last updated
11/25/2018
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