Individual
ELAINE MANNERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 432-5185
(323) 432-5086
Mailing address
1643 3RD AVE, LOS ANGELES, CA 90019-6124
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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