Individual
COLLETTE ARCHIBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
(310) 268-3821
Mailing address
3506 S BENTLEY AVE APT 205, LOS ANGELES, CA 90034-6568
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW17576
CA
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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