Individual
ALYSSA JACQUELINE IMPERIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
867 N FAIR OAKS AVE, PASADENA, CA 91103-3050
(626) 993-3100
Mailing address
PO BOX 1043, GLENDORA, CA 91740-1043
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW92300
CA
Other
Enumeration date
09/24/2018
Last updated
02/11/2020
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