Individual
SUSAN G. MENKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4974 PALO DR, TARZANA, CA 91356-4441
(818) 705-8644
(818) 705-6244
Mailing address
4974 PALO DR, TARZANA, CA 91356-4441
(818) 705-8644
(818) 705-6244
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
LCS 7924
CA
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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