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General NPI Number Information
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NPI Number | 1972331437
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Entity Type | Organization
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Legal Business Name | ANNIE THE THERAPIST LICENSED CLINICAL SOCIAL WORKER, INC
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Dates
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Enumeration Date | 07/24/2024
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 1910 W SUNSET BLVD STE 800
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City | LOS ANGELES
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State | CA
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Zip | 90026-3283
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Country | US
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Telephone | 323-301-3962
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Fax |
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Provider Business Mailing Address
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Address Line | 7190 W SUNSET BLVD # 7D
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City | LOS ANGELES
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State | CA
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Zip | 90046-4415
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Country | US
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Telephone | 323-301-3962
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANA LUZ LOPEZ
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Credential | LCSW
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Telephone | 818-689-5387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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