MIRTA ELVIRE INNIS-THOMPSON

LOS ANGELES, CA
NPI1386983393
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  101906)
Enumeration Date2013-02-11
Last Update Date2021-11-16
Business Address
MIRTA ELVIRE INNIS-THOMPSON LCSW
10880 WILSHIRE BLVD STE 1101
LOS ANGELES, CA 90024-4112
Phone number: 619-869-0771
Mailing Address
MIRTA ELVIRE INNIS-THOMPSON LCSW
12529 GREY FOX LN
POTOMAC, MD 20854-1903
Phone number: 619-869-0771
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