Individual
LISA LY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 BAUCHET ST, LOS ANGELES, CA 90012-2907
(310) 222-3117
Mailing address
450 BAUCHET ST, LOS ANGELES, CA 90012-2907
(310) 222-3117
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
11/30/2010
Last updated
01/01/2022
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