Organization
CAROL L. MEYLAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL L MEYLAN LCSW (LICENSED CLINICAL SOCIAL WORKER)
(310) 795-8249
Entity
Organization
Contact information
Practice address
1600 ROSECRANS AVE, SUITE 400, MANHATTAN BEACH, CA 90266-3708
(310) 795-8249
Mailing address
514 VIA DE LA PAZ, PACIFIC PALISADES, CA 90272-4362
(310) 795-8249
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
28422
CA
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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