| Kinship Care And Therapy License Clinical Social Worker P.c | |
|
1342 10th St Apt 103 Santa Monica CA 90401-1938 | |
| (213) 255-9267 | |
| Not Available |
| Full Name | Kinship Care And Therapy License Clinical Social Worker P.c |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1342 10th St Apt 103, Santa Monica, California |
| Authorized Official Name and Position | Madeleine E Zimmerman (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 8052920649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kinship Care And Therapy License Clinical Social Worker P.c 8605 Santa Monica Blvd Pmb 231540 West Hollywood CA 90069-4109 Ph: () - | Kinship Care And Therapy License Clinical Social Worker P.c 1342 10th St Apt 103 Santa Monica CA 90401-1938 Ph: (213) 255-9267 |
| NPI Number | 1538926084 |
|---|---|
| Provider Enumeration Date | 03/01/2024 |
| Last Update Date | 07/09/2024 |
| Certification Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538926084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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