Doctor Name: | SHOSHANA GABRIELE GARISEK |
NPI Number: | 1033234364 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 111 N La Brea Ave Ste 700 Inglewood, CA - 903014651 |
Business Phone Number: | 3106677808 |
Business Fax Number: | |
Mailing Address: | 3741 Vinton Ave Apt 6, LOS ANGELES |
State: | CA |
Postal Code: | 900346029 |
Phone Number: | 7143306375 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 07/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |