Individual
ELLEN MARIE GLADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5318 CRENSHAW BLVD, LOS ANGELES, CA 90043-1810
(323) 293-6291
Mailing address
9144 S MANHATTAN PL, LOS ANGELES, CA 90047-3543
(323) 762-4156
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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