Individual
AUDRA JO CASABELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
8019 COMPTON AVE, LOS ANGELES, CA 90001-3409
(323) 586-7333
(323) 319-1998
Mailing address
26332 MARGARITA LN, LOMA LINDA, CA 92354-6737
(626) 673-2252
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW20787
CA
1041C0700X
Clinical Social Worker
Primary
LCSW 26550
CA
Other
Enumeration date
03/09/2007
Last updated
07/01/2011
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