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Organization
DIADRA SMITH LICENSED CLINICAL SOCIAL WORKER INC
Active
Organization
DIADRA SMITH LICENSED CLINICAL SOCIAL WORKER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIADRA SMITH LCSW (OWNER)
(562) 277-1965
Entity
Organization
Contact information
Practice address
1000 N SEPULVEDA BLVD STE 280, MANHATTAN BEACH, CA 90266-5975
(562) 277-1965
Mailing address
1620 VENICE BLVD APT 301, VENICE, CA 90291-5933
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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