Individual
ALICIA AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 BAUCHET ST, LOS ANGELES, CA 90012-2907
(213) 893-5475
Mailing address
450 BAUCHET ST, LOS ANGELES, CA 90012-2907
(213) 893-5475
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
122682
CA
Other
Enumeration date
08/24/2020
Last updated
05/10/2025
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