Individual
BETH MACKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2444 WILSHIRE BLVD, SUITE #400, SANTA MONICA, CA 90403-5808
(310) 998-8841
Mailing address
2444 WILSHIRE BLVD, SUITE #400, SANTA MONICA, CA 90403-5808
(310) 998-8841
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS14023
CA
Other
Enumeration date
08/04/2006
Last updated
07/09/2007
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