Individual
ASHLEY REBEKAH TWEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1625 SCHRADER BLVD, LOS ANGELES, CA 90028-6213
(323) 993-8988
Mailing address
657 RAIN FOREST RD APT 2, KNOXVILLE, TN 37923-5612
(865) 850-9910
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
88743
CA
104100000X
Social Worker
88743
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01536011
MEDI-CAL
CA
Enumeration date
05/21/2019
Last updated
12/21/2022
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