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Individual

COLIN BOWMAN KINDLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3745 OVERLAND AVE, LOS ANGELES, CA 90034-6311
(310) 392-5855
Mailing address
3745 OVERLAND AVE, LOS ANGELES, CA 90034-6311
(310) 392-5855

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW126440
CA
172V00000X
Community Health Worker
CA
390200000X
Student in an Organized Health Care Education/Training Program
CA

Other

Enumeration date
09/01/2023
Last updated
10/03/2024
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