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MARY ACKERLY LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1295371631

Individual Registrant:
 MARY  ACKERLY LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
450 N BEDFORD DR  BEVERLY HILLS, CA 90210-4324 US
Tel: 310-570-2647  Fax: --

Contact information for business:
2921 THATCHER AVE  MARINA DEL REY, CA 90292-5530 US
Tel: 203-219-3621  Fax: --

Registration Information:
NPI: 1295371631
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CA86904

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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