Individual
ILSE ALEJANDRA HERRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
14147 FRIAR ST, VAN NUYS, CA 91401-2106
(818) 425-2852
Mailing address
14147 FRIAR ST, VAN NUYS, CA 91401-2106
(818) 425-2852
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW73012
CA
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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