Individual
ELIZABETH EMILY ECCLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, ASW
Contact information
Practice address
901 N PACIFIC COAST HWY, SUITE 200A, REDONDO BEACH, CA 90277-2162
(310) 316-1610
Mailing address
715 S NORMANDIE AVE, #520, LOS ANGELES, CA 90005-2267
(312) 890-8496
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW 33437
CA
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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