Individual
MRS. CAMILLE ANN CORDOVA RAQUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
679 S NEW HAMPSHIRE AVE FL 4, LOS ANGELES, CA 90005-1355
(213) 639-0299
Mailing address
679 S NEW HAMPSHIRE AVE STE 400, LOS ANGELES, CA 90005-1355
(213) 639-2683
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
103123
CA
Other
Enumeration date
07/29/2016
Last updated
08/23/2021
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