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SHAUNEET MARDUK L.C.S.W.
>> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1396078283
Individual Registrant: SHAUNEET MARDUK L.C.S.W.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
25101 THE OLD RD STE 131 STEVENSON RANCH, CA 91381-2206 US
Tel: 818-489-7137 Fax: --
Tel: 818-489-7137 Fax: --
Contact information for business:
PO BOX 5200 SHERMAN OAKS, CA 91413-5200 US
Tel: 818-489-7137 Fax: --
Tel: 818-489-7137 Fax: --
Registration Information:
NPI: 1396078283
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 104100000X | Behavioral Health & Social Service Providers Social Worker | CA | ASW29225 |
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker | CA | LCSW64700 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
