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Organization
WESTSIDE CENTER FOR INDEPENDENT LIVING
Active
Organization
WESTSIDE CENTER FOR INDEPENDENT LIVING
Active
Other names
WCIL
Organization subpart
No
Provider details
NPI number
Authorized official
COSETTE CASE LCSW (PROGRAM ADMINISTRATOR)
(310) 390-3611
Entity
Organization
Contact information
Practice address
12901 VENICE BLVD, LOS ANGELES, CA 90066-3509
(310) 390-3611
(310) 390-4906
Mailing address
12901 VENICE BLVD, LOS ANGELES, CA 90066-3509
(310) 390-3611
(310) 390-4906
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS13153
CA
Other
Enumeration date
03/06/2007
Last updated
01/15/2015
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