Individual
ALISSA MEGAN BOLEN-RAMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
429 BAUCHET ST, LOS ANGELES, CA 90012-2985
(626) 840-3470
Mailing address
429 BAUCHET ST, LOS ANGELES, CA 90012-2985
(626) 840-3470
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW122263
CA
Other
Enumeration date
06/27/2019
Last updated
09/17/2024
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