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MRS. CHARMAINE NOOSHIN HERZIG L.C.S.W.

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

Registrant NPI Number: 1376965574

Individual Registrant:
MRS. CHARMAINE NOOSHIN HERZIG L.C.S.W.
Gender: F
Sole Proprietor

Location and contact information for practice:
124 N. VIGNES ST  L.A., CA 90012 US
Tel: 805-640-6490  Fax: --

Contact information for business:
124 NORTH VIGNES ST.  LOS ANGELES, CA 90012 US
Tel: 805-640-6490  Fax: --

Registration Information:
NPI: 1376965574
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CALCSW20775

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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