Individual
MS. BERTHA ALEXIS PETTAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
333 S BEAUDRY AVE, LOS ANGELES, CA 90017-1466
(213) 241-3841
(213) 241-3505
Mailing address
333 S BEAUDRY AVE, LOS ANGELES, CA 90017-1466
(213) 241-3841
(213) 241-3505
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
26156
CA
1041C0700X
Clinical Social Worker
Primary
67188
CA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/05/2007
Last updated
09/09/2016
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