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Individual

CAITLIN MCSHANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(323) 593-5300
Mailing address
2594 INDUSTRY WAY, LYNWOOD, CA 90262-4015
(951) 683-6019

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
INTERN
1041C0700X
Clinical Social Worker
Primary
128509
CA
106S00000X
Behavior Technician
390200000X
Student in an Organized Health Care Education/Training Program
CA

Other

Enumeration date
10/18/2021
Last updated
03/31/2025
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