Individual
HEATHER COBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5454 GENESTA AVE, ENCINO, CA 91316-2620
(310) 908-4070
Mailing address
5454 GENESTA AVE, ENCINO, CA 91316-2620
(310) 908-4070
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
99743
CA
Other
Enumeration date
05/12/2017
Last updated
03/02/2022
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