Individual
ALYCE WAXMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3808 W RIVERSIDE DR STE 400, BURBANK, CA 91505-5301
(323) 657-9627
Mailing address
2012 N COMMONWEALTH AVE, LOS ANGELES, CA 90027-2854
(917) 691-9683
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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