Individual
ALISHA DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
470 E 3RD ST STE C, LOS ANGELES, CA 90013-1630
(619) 246-4901
Mailing address
470 E 3RD ST STE C, LOS ANGELES, CA 90013-1630
(619) 246-4901
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
122907
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679326821
—
CA
Enumeration date
04/08/2024
Last updated
06/11/2024
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