Individual
DR. CAROL JOAN WAISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, L.C.S.W
Contact information
Practice address
4640 ADMIRALTY WAY, 318, MARINA DEL REY, CA 90292-6621
(310) 804-7798
(310) 822-1240
Mailing address
4500 VIA MARINA, 220, MARINA DEL REY, CA 90292-7214
(310) 305-8822
(310) 822-1240
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCS6290
CA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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