Provider First Line Business Practice Location Address:
STUDENT PSYCHOLOGICAL SERVICES JOHN WOODEN CTR W
Provider Second Line Business Practice Location Address:
221 WESTWOOD PLAZA, BOX 951556
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90095-1556
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-206-6878
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/10/2007