ANTONIO SHALLOWHORN

LOS ANGELES, CA
NPI1851940811
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  137739)
Enumeration Date2019-09-11
Last Update Date2026-04-17
Business Address
ANTONIO SHALLOWHORN
510 S VERMONT AVE
LOS ANGELES, CA 90020-1912
Phone number: 424-429-2767
Mailing Address
ANTONIO SHALLOWHORN
3711 LONG BEACH BLVD STE 4057
LONG BEACH, CA 90807-3320
Phone number: