Individual
MS. ANNALISE KORDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1065 E MOUNTAIN ST, PASADENA, CA 91104-4606
(626) 240-9193
Mailing address
1065 E MOUNTAIN ST, PASADENA, CA 91104-4606
(626) 240-9193
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.012882
IL
1041C0700X
Clinical Social Worker
Primary
LCS 28268
CA
Other
Enumeration date
10/26/2011
Last updated
12/05/2013
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