Individual
ANGELA BERNADETTE COULTER DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 UCLA MEDICAL PLZ STE 2200, LOS ANGELES, CA 90095-4006
(310) 825-9989
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
ASW 23571
CA
1041C0700X
Clinical Social Worker
Primary
LCSW29650
CA
Other
Enumeration date
06/23/2011
Last updated
07/22/2024
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