Maria Guadalupe Chavez-brown, | |
83445 Wagon Rd, Indio, CA 92203-2836 | |
(760) 574-3514 | |
Not Available |
Full Name | Maria Guadalupe Chavez-brown |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 83445 Wagon Rd, Indio, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073873626 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS28256 (California) | Primary |
Entity Name | Inland Psychiatric Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649217761 PECOS PAC ID: 9436062312 Enrollment ID: O20031106000736 |
Entity Name | Clinicas De Salud Del Pueblo Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346313889 PECOS PAC ID: 5496657082 Enrollment ID: O20071201000158 |
Mailing Address | Practice Location Address |
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Maria Guadalupe Chavez-brown, 44100 Jefferson St # D403-255, Indio, CA 92201-9014 Ph: (760) 574-3514 | Maria Guadalupe Chavez-brown, 83445 Wagon Rd, Indio, CA 92203-2836 Ph: (760) 574-3514 |
Ms. Suzanne Lucretia Garrison, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47915 Oasis St, Indio, CA 92201 Phone: 760-863-8585 | |
Noelia Sanchez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47825 Oasis St, Indio, CA 92201 Phone: 760-898-1884 | |
Mitchell Blum, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50385 Logan Creek Dr, Indio, CA 92201 Phone: 760-708-1482 | |
Mr. Alfredo M. Huerta, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47825 Oasis St, Indio, CA 92201 Phone: 760-863-8455 Fax: 760-863-8587 | |
Heather Torres, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47915 Oasis St, Indio, CA 92201 Phone: 760-863-8628 | |
Diane Wagman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 81268 Avenida Tres Lagunas, Indio, CA 92203 Phone: 818-970-4913 |