| |
910 W San Marcos Blvd Ste 205 San Marcos CA 92078-1117 | |
(619) 281-3706 | |
(760) 796-4397 |
Full Name | |
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Speciality | Social Worker - Clinical |
Location | 910 W San Marcos Blvd Ste 205, San Marcos, California |
Authorized Official Name and Position | Thomas N Alexander (PRESIDENT AND CEO) |
Authorized Official Contact | 5104822244 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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910 W San Marcos Blvd Ste 205 San Marcos CA 92078-1117 Ph: (619) 281-3706 | 910 W San Marcos Blvd Ste 205 San Marcos CA 92078-1117 Ph: (619) 281-3706 |
NPI Number | 1265682504 |
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Provider Enumeration Date | 09/23/2008 |
Last Update Date | 07/27/2023 |
Certification Date | 07/27/2023 |
Identifier | Type | State | Issuer |
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1265682504 | NPI | - | NPPES |
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