Individual
MS. ANGEL RENE KELLY-BLAYDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1500 S MCDONNELL AVE, LOS ANGELES, CA 90040-5623
(323) 981-4308
(323) 269-2541
Mailing address
1500 S MCDONNELL AVE, LOS ANGELES, CA 90040-5623
(323) 981-4308
(323) 269-2541
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS11623
CA
Other
Enumeration date
11/14/2006
Last updated
03/11/2008
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