Individual
BO CHAMUNEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9650 ZELZAH AVE, NORTHRIDGE, CA 91325-2003
(818) 993-9311
Mailing address
9650 ZELZAH AVE, NORTHRIDGE, CA 91325-2003
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
ASW67093
CA
1041C0700X
Clinical Social Worker
Primary
LCSW101328
CA
Other
Enumeration date
08/10/2016
Last updated
05/04/2021
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