Individual
CAITILIN MARIE HARBECKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
16111 PLUMMER ST BLDG 20, NORTH HILLS, CA 91343-2036
(818) 891-7711
Mailing address
14333 ADDISON ST APT 117, SHERMAN OAKS, CA 91423-1805
(708) 256-9653
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
077049
IA
1041C0700X
Clinical Social Worker
Primary
077049
IA
Other
Enumeration date
09/07/2018
Last updated
03/12/2024
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