Individual
JACKLYN VILYUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 233-0425
Mailing address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 233-0425
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW114693
CA
Other
Enumeration date
06/21/2024
Last updated
07/26/2024
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