Provider First Line Business Practice Location Address:
11835 W. OLYMPIC BLVD SUITE 1090
Provider Second Line Business Practice Location Address:
SOCIAL SERVICE PROFESSIONALS
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90064
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-473-4448
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/07/2011