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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