Individual
EGYPT CALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
146 W 117TH ST, LOS ANGELES, CA 90061-1824
(323) 875-8361
Mailing address
146 W 117TH ST, LOS ANGELES, CA 90061-1824
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CA
1041C0700X
Clinical Social Worker
120850
CA
Other
Enumeration date
03/28/2024
Last updated
10/03/2024
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