Individual
ELIZABETH CHANESKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6610 MELVIN AVE, TARZANA, CA 91356-0000
(818) 881-3824
Mailing address
6610 MELVIN AVE, TARZANA, CA 91356-0000
(818) 881-3824
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCS11258
CA
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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