CorpID/LocID

Practitioner List:

 TWIN TOWN CORPORATION
 4940 Van Nuys Boulevard, Suite 201,
 Sherman Oaks, CA  91403

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First NameLast NamePractitioner TypeNPICalifornia License NumberCalifornia License TypeCultural Competence Training
CLAIRADIEDA Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1689392375111252Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
KAYLAMONTAQUE Licensed Clinical Social Worker (LCSW) 1962125609117891Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes