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Individual

MS. TALI MARIKO WHALLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
439 W 97TH ST, LOS ANGELES, CA 90003-3968
(323) 754-2856
(818) 996-9850
Mailing address
439 W 97TH ST, LOS ANGELES, CA 90003-3968
(213) 694-0045
(818) 996-9850

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
ASW16179
CA
1041S0200X
School Social Worker
ASW16179
CA
1041S0200X
School Social Worker
Primary
LCS23957
CA

Other

Enumeration date
03/29/2007
Last updated
05/30/2025
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