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Organization
DARELIVETHRIVE, PC
Active
Organization
DARELIVETHRIVE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANE KENNINGTON LCSW (PRESIDENT)
(818) 370-6423
Entity
Organization
Contact information
Practice address
10436 SANTA MONICA BLVD, SUITE 3005 OFFICE #3, LOS ANGELES, CA 90025-6933
(818) 370-6423
(310) 598-7157
Mailing address
1203 N SWEETZER AVE, # 203, WEST HOLLYWOOD, CA 90069-3045
(818) 370-6423
(310) 598-7157
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25220
CA
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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