| None | |
|
42156 10th St W Suite 201 Lancaster CA 93534-7062 | |
| (661) 510-7093 | |
| (661) 794-2606 |
| Full Name | None |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 42156 10th St W, Lancaster, California |
| Authorized Official Name and Position | Merla Ann Huntley (PRIVATE CLINICIAN) |
| Authorized Official Contact | 6625107093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| None 42156 10th St W Suite 201 Lancaster CA 93534-7062 Ph: (661) 510-7093 | None 42156 10th St W Suite 201 Lancaster CA 93534-7062 Ph: (661) 510-7093 |
| NPI Number | 1396051850 |
|---|---|
| Provider Enumeration Date | 08/23/2010 |
| Last Update Date | 06/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396051850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS15209 (California) | Primary |
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