Individual
CAROLYN JEANETTE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 W OLYMPIC BLVD STE 600, LOS ANGELES, CA 90015-3865
(323) 999-2404
Mailing address
1625 W OLYMPIC BLVD STE 600, LOS ANGELES, CA 90015-3865
(323) 999-2404
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/09/2017
Last updated
05/16/2025
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