Individual
MS. AYESHA LEWIS MUNIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2917 W 78TH PL, INGLEWOOD, CA 90305-1027
(323) 377-2173
Mailing address
2917 W 78TH PL, INGLEWOOD, CA 90305-1027
(323) 377-2176
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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