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Organization
MINDFUL CLINICAL SERVICES, LLC
Active
Organization
MINDFUL CLINICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA WAKACH LCSW (CO-FOUNDER)
(747) 228-2621
Entity
Organization
Contact information
Practice address
1923 WESTWOOD BLVD STE 4, LOS ANGELES, CA 90025-4613
(747) 228-2621
Mailing address
1923 WESTWOOD BLVD STE 4, LOS ANGELES, CA 90025-4613
(747) 228-2621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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