Individual
ALEXA TANGALAKIS WAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4015 JACKSON AVE, CULVER CITY, CA 90232-3231
(310) 569-3188
Mailing address
14827 DOTY AVE, HAWTHORNE, CA 90250-8420
(310) 569-3188
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
102026
CA
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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