Individual
AMY KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 GRIFFIN AVE, LOS ANGELES, CA 90031-3312
(213) 424-4008
Mailing address
1721 GRIFFIN AVE, LOS ANGELES, CA 90031-3312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW125785
CA
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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