Individual
AHRA C KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
631 MAPLE AVE STE B, LOS ANGELES, CA 90014-2211
(213) 673-3001
(213) 626-2458
Mailing address
631 MAPLE AVE STE B, LOS ANGELES, CA 90014-2211
(213) 673-3001
(213) 626-2458
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW98670
CA
Other
Enumeration date
10/14/2016
Last updated
07/03/2023
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