Individual
AUSTIN KOUEI SAEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACSW
Contact information
Practice address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
(310) 398-5690
Mailing address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW125160
CA
104100000X
Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/06/2023
Last updated
09/04/2024
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