Individual
MS. ALICIA BASURTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1500 S OLIVE ST, LOS ANGELES, CA 90015-3023
(213) 746-5582
(213) 342-3410
Mailing address
1500 S OLIVE ST, LOS ANGELES, CA 90015-3023
(213) 746-5582
(213) 342-3410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28566
CA
Other
Enumeration date
02/23/2007
Last updated
05/30/2013
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