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Organization

LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. STACY MA DU BOIS (SUPERVISING PSYCHIATRIC SOCIAL WORK)
(213) 639-6744
Entity
Organization

Contact information

Practice address
1333 CHESTNUT AVE, LONG BEACH, CA 90813-2944
(562) 599-6418
Mailing address
1333 CHESTNUT AVE, LONG BEACH, CA 90813-2944
(562) 599-6418

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
D1053453
CA

Other

Enumeration date
03/09/2011
Last updated
03/09/2011
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