Nicole Chan, LISW

NPI #1003183641 in Los Angeles, California

Provider Information

NPI Number: 1003183641
Entity Type: Individual
Name: Nicole Chan, LISW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LISW
Enumeration Date: Nov 28, 2011
Last Updated: Mar 7, 2024

Practice Location

Address: 11301 WILSHIRE BLVD
City: Los Angeles
State: California
ZIP Code: 90073-1003
Phone: (310) 487-6026

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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