Individual
AUTUMN YAMAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACSW, MSW, MED
Contact information
Practice address
11500 W OLYMPIC BLVD STE 400, LOS ANGELES, CA 90064-1525
(323) 642-6529
Mailing address
3538 8TH AVE, LOS ANGELES, CA 90018-3309
(323) 642-6529
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/25/2011
Last updated
09/23/2013
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