| Amr A Licensed Clinical Social Worker Corporation | |
|
226 Grand Ave Unit 201 Long Beach CA 90803-6179 | |
| (530) 637-8678 | |
| Not Available |
| Full Name | Amr A Licensed Clinical Social Worker Corporation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 226 Grand Ave Unit 201, Long Beach, California |
| Authorized Official Name and Position | Ann Marie Russo (OWNER) |
| Authorized Official Contact | 3232075901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amr A Licensed Clinical Social Worker Corporation 262 Lindero Ave Long Beach CA 90803-5724 Ph: (562) 253-2572 | Amr A Licensed Clinical Social Worker Corporation 226 Grand Ave Unit 201 Long Beach CA 90803-6179 Ph: (530) 637-8678 |
| NPI Number | 1508456740 |
|---|---|
| Provider Enumeration Date | 01/21/2021 |
| Last Update Date | 01/21/2021 |
| Certification Date | 01/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508456740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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