Organization
BROOME FAMILY FOUNDATION
Active
Organization
BROOME FAMILY FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAUREN LUDLOW LCSW (BOARD MEMBER)
(323) 524-8424
Entity
Organization
Contact information
Practice address
20300 VENTURA BLVD STE 330, WOODLAND HILLS, CA 91364-0904
(323) 824-5424
Mailing address
4859 W SLAUSON AVE # 515, LOS ANGELES, CA 90056-1290
(323) 524-8424
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNKNOWN
UNKNOWN
—
Enumeration date
09/22/2020
Last updated
10/19/2020
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