Individual
CHANCE HARLEM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
815 N EL CENTRO AVE, LOS ANGELES, CA 90038-3805
(818) 802-2065
Mailing address
815 N EL CENTRO AVE, LOS ANGELES, CA 90038-3805
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
01/06/2022
Last updated
01/25/2022
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