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Organization

LIFTED TOGETHER INC LICENSED CLINICAL SOCIAL WORKER

Active
Other names
LIFTED TOGETHER
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TANYATTA CHATEAU LCSW (CLINICAL SOCIAL WORKER/ MANAGER)
(818) 606-9836
Entity
Organization

Contact information

Practice address
8363 RESEDA BLVD, SUITE 203E, NORTHRIDGE, CA 91324-4623
(818) 727-7742
Mailing address
8363 RESEDA BLVD, SUITE 203E, NORTHRIDGE, CA 91324-4623
(818) 727-7742

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
LCS 23309
CA
251S00000X
Community/Behavioral Health Agency
LCS 23309
CA

Other

Enumeration date
05/07/2015
Last updated
05/07/2015
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