Organization
DEPARTMENT OF MENTAL HEALTH
Active
Organization
DEPARTMENT OF MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUESAN COLEMAN MASTERS DEGREE (PSYCHIATRIC SOCIAL WORKER)
(310) 668-5059
Entity
Organization
Contact information
Practice address
1720 E 120TH ST, ROOM 1099, LOS ANGELES, CA 90059-3052
(310) 668-5059
(310) 223-0914
Mailing address
1720 E 120TH ST, LOS ANGELES, CA 90059-3052
(310) 668-5059
(310) 223-0914
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
11812
CA
Other
Enumeration date
11/21/2006
Last updated
09/06/2023
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