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Individual

ISHITA KANUNGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2509 PICO BLVD, SANTA MONICA, CA 90405-1828
(310) 392-8636
Mailing address
995 FIGUEROA TER APT 104, LOS ANGELES, CA 90012-5919

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
02/16/2023
Last updated
06/28/2023
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