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MRS. TARA STORMS KESLING L.C.S.W.
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1144349929
Individual Registrant:MRS. TARA STORMS KESLING L.C.S.W.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
439 W.97TH STREET LOS ANGELES, CO 90003 US
Tel: 323-754-2856 Fax: 323-754-1843
Tel: 323-754-2856 Fax: 323-754-1843
Contact information for business:
17071 COUNTESS PL ENCINO, CA 91436-3501 US
Tel: 818-788-4922 Fax: --
Tel: 818-788-4922 Fax: --
Registration Information:
NPI: 1144349929
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 | LCS20810 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
