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NPI Code Detail

MEDICARE: MRS. PAULA AZOURI GLASHAUSSER LCSW

MEDICARE:  MRS. PAULA AZOURI GLASHAUSSER  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCSW74464CA

General Provider Information

NPI Number : 1366775413
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAULA AZOURI GLASHAUSSER LCSW
Provider Business Mailing Address
First Line : 321 S SHERBOURNE DR APT 306
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-3399
Country : US
Telephone Number : 818-648-3950
Fax Number :
Provider Business Practice Location Address
First Line : 1617 COSMO ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90028-6347
Country : US
Telephone Number : 310-808-5497
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2009
Last Update Date : 01/31/2020

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Directions to “ MRS. PAULA AZOURI GLASHAUSSER LCSW” Practice Location

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