Mila L Shank, LCSW
Social Worker, Clinical in Santa Cruz, CA. Individual provider (NPI-1).
NPI number1154544591
StatusActive
Last updated in NPPESOct 26, 2023
Details
- NPI
- 1154544591
- Entity type
- Individual (NPI-1)
- Name
- Mila L Shank
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2007
- Certification date
- Apr 1, 2021
- Last updated
- Oct 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCS 26102 | CA | Yes |
Practice location
1510 Capitola RdSanta Cruz, CA 95062-2912
Phone 831-427-3500
Mailing address
720 Blue Ridge DrBoulder Creek, CA 95006-9658
Phone 831-535-3295
Other practice locations
530 Soquel Ave
Santa Cruz, CA 95062-2301
Santa Cruz, CA 95062-2301
Phone 831-426-7324 · Fax 831-426-2803
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