Most Relevant Information
Provider Data
| NPI Number: | 1003061037 |
| Provider Name: | SHOSHANA LEVINE LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | CSW24340 |
Most Important Dates
| Enumeration Date: | 11/18/2008 |
| Last Updated: | 11/18/2008 |
Provider Practice Location
2665 30TH ST
SUITE 213
SANTA MONICA
CA
904053063
Practice Location Phone/Fax
| Phone: | 3109987253 |
| Fax: | 3108292573 |
Provider Mailing Location
2665 30TH ST
SUITE 213
SANTA MONICA
CA
904053063
Provider Mailing Phone/Fax
| Phone: | 3109987253 |
| Fax: | 3108292573 |