Individual
AHAB LISKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1424 4TH ST STE 303, SANTA MONICA, CA 90401-2360
(310) 393-0732
Mailing address
648 S RIDGELEY DR APT 203, LOS ANGELES, CA 90036-3824
(323) 933-2988
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS19891
CA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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