Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 5363 | CA |
NPI | 1003132069 |
---|---|
Provider Name | Frances Caple |
First Address | Los Angeles, CA 90003-2034 |
Second Address | Los Angeles, CA 90003-2034 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2010 |
Last Update Date | 15/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5363 | LICENSED CLINICAL SOCIAL WORKER (01) | CA |