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Tara Maazel, LCSW

Social Worker, Clinical in Los Angeles, CA. Individual provider (NPI-1).

NPI number1336782853
StatusActive
Last updated in NPPESDec 1, 2023

Details

NPI
1336782853
Entity type
Individual (NPI-1)
Name
Tara Maazel
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 28, 2019
Certification date
Dec 1, 2023
Last updated
Dec 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical110169CAYes

Practice location

11835 W Olympic Blvd
Los Angeles, CA 90064-5001

Phone 323-332-9905

Mailing address

Po Box 88106
Los Angeles, CA 90009-8106

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