Individual
CALLIE LIND KLEBANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3162 GLENMANOR PL, LOS ANGELES, CA 90039-1713
(323) 646-6110
Mailing address
3162 GLENMANOR PL, LOS ANGELES, CA 90039-1713
(323) 646-6110
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS96940
CA
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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