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NPI Code Detail

MEDICARE: VICTORIA LE BEAU LCSW

MEDICARE:   VICTORIA  LE BEAU  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 WorkerLCS14006CA

General Provider Information

NPI Number : 1396948642
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA LE BEAU LCSW
Provider Business Mailing Address
First Line : 10811 WASHINGTON BLVD
Second Line : SUITE 280
City : CULVER CITY
State : CA
Zip : 90232-3659
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10811 WASHINGTON BLVD
Second Line : SUITE 280
City : CULVER CITY
State : CA
Zip : 90232-3659
Country : US
Telephone Number : 310-636-4265
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2007
Last Update Date : 12/14/2009

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Directions to “ VICTORIA LE BEAU LCSW” Practice Location

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