Individual
ELISA THRASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5655 LINDERO CANYON RD STE 302, WESTLAKE VILLAGE, CA 91362-4045
(818) 991-4885
Mailing address
13833 HAWTHORNE BLVD # 454, HAWTHORNE, CA 90250-7011
(323) 301-0135
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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