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NPI Code Detail

MEDICARE: MS. CAROLYN G MYLES LCSW

MEDICARE: MS. CAROLYN G MYLES LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker18587CA

General Provider Information

NPI Number : 1225116361
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROLYN G MYLES LCSW
Provider Business Mailing Address
First Line : 5950 CANTERBURY DR APT C116
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-6717
Country : US
Telephone Number : 310-641-7723
Fax Number :
Provider Business Practice Location Address
First Line : 1500 S MCDONNELL AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90040-5623
Country : US
Telephone Number : 323-981-4301
Fax Number : 323-881-6733
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2006
Last Update Date : 07/08/2007

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Directions to “ MS. CAROLYN G MYLES LCSW” Practice Location

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