DR. Carol Joan Waisman, PH.D, L.C.S.W
NPI #1588870422 in Marina Del Rey, California
Provider Information
- NPI Number
- 1588870422
- Entity Type
- Individual
- Name
- DR. Carol Joan Waisman, PH.D, L.C.S.W
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Credential
- PH.D, L.C.S.W
- Enumeration Date
- May 15, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4640 ADMIRALTY WAY
- Address 2
- 318
- City
- Marina Del Rey
- State
- California
- ZIP Code
- 90292-6621
- Phone
- (310) 804-7798
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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