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Organization
SHAUNEET MARDUK, LICENSE CLINICAL SOCIAL WORKER INC.
Active
Organization
SHAUNEET MARDUK, LICENSE CLINICAL SOCIAL WORKER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHAUNEET EVE MARDUK LCSW (PRESIDENT)
(818) 489-7137
Entity
Organization
Contact information
Practice address
25101 THE OLD RD STE 131, STEVENSON RANCH, CA 91381-2206
(818) 489-7137
Mailing address
PO BOX 5200, SHERMAN OAKS, CA 91413-5200
(818) 489-7137
(818) 475-1646
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
05/03/2019
Last updated
09/29/2020
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