Individual
DORA COUOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1227 E LOS ANGELES AVE, SIMI VALLEY, CA 93065-2871
(805) 300-8918
Mailing address
PO BOX 4961, THOUSAND OAKS, CA 91359-1961
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
116956
CA
Other
Enumeration date
11/20/2023
Last updated
11/22/2023
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