| I Got U Licensed Clinical Social Worker Corp | |
|
9431 Haven Ave Ste 100 Rancho Cucamonga CA 91730-5879 | |
| (510) 265-4895 | |
| Not Available |
| Full Name | I Got U Licensed Clinical Social Worker Corp |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9431 Haven Ave Ste 100, Rancho Cucamonga, California |
| Authorized Official Name and Position | Vincente Mozell (AUTHORIZED OFFICIAL/OWNER) |
| Authorized Official Contact | 5102654895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| I Got U Licensed Clinical Social Worker Corp 9431 Haven Ave Ste 100 Rancho Cucamonga CA 91730-5879 Ph: (510) 265-4895 | I Got U Licensed Clinical Social Worker Corp 9431 Haven Ave Ste 100 Rancho Cucamonga CA 91730-5879 Ph: (510) 265-4895 |
| NPI Number | 1922603638 |
|---|---|
| Provider Enumeration Date | 12/01/2020 |
| Last Update Date | 12/01/2020 |
| Certification Date | 12/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922603638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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