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Organization
MCMAHON BRIDGEWATER TOLAN LICENSE CLINICAL SOCIAL WORKERS INC
Active
Organization
MCMAHON BRIDGEWATER TOLAN LICENSE CLINICAL SOCIAL WORKERS INC
Active
Other names
Simunye Wellness and Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE MCMAHON LCSW (PRESIDENT)
(310) 929-0380
Entity
Organization
Contact information
Practice address
4859 W SLAUSON AVE, SUITE 116, LOS ANGELES, CA 90056-1290
(310) 929-0380
Mailing address
4859 W SLAUSON AVE, SUITE 116, LOS ANGELES, CA 90056-1290
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 26631
CA
Other
Enumeration date
12/31/2012
Last updated
09/13/2013
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