Individual
IRA WOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
300 MEDICAL PLZ, LOS ANGELES, CA 90095-0001
(310) 825-9989
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW18314
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LCS183140
—
CA
Enumeration date
07/12/2006
Last updated
11/30/2010
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