Individual
MRS. ALLEGRA JENEE ROUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4900 SERRANIA AVE, WOODLAND HILLS, CA 91364
(310) 657-3138
Mailing address
4900 SERRANIA AVE, WOODLAND HILLS, CA 91364
(310) 657-3138
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
LCS28180
CA
Other
Enumeration date
12/02/2008
Last updated
08/09/2018
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