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MARY ACKERLY LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1295371631
Individual Registrant: MARY ACKERLY LCSW
Gender: F
Sole Proprietor
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: --
Tel: 310-570-2647 Fax: --
Contact information for business:
2921 THATCHER AVE MARINA DEL REY, CA 90292-5530 US
Tel: 203-219-3621 Fax: --
Tel: 203-219-3621 Fax: --
Registration Information:
NPI: 1295371631
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | CA | 86904 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
