| Radiantly Mindful Licensed Clinical Social Worker Inc. | |
|
50 W Lemon Ave Ste 4 Monrovia CA 91016-5112 | |
| (310) 227-9649 | |
| Not Available |
| Full Name | Radiantly Mindful Licensed Clinical Social Worker Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 50 W Lemon Ave Ste 4, Monrovia, California |
| Authorized Official Name and Position | Sheila Frando Alfaro (PRESIDENT/ OWNER) |
| Authorized Official Contact | 3102279649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiantly Mindful Licensed Clinical Social Worker Inc. 50 W Lemon Ave Ste 4 Monrovia CA 91016-5112 Ph: (310) 227-9649 | Radiantly Mindful Licensed Clinical Social Worker Inc. 50 W Lemon Ave Ste 4 Monrovia CA 91016-5112 Ph: (310) 227-9649 |
| NPI Number | 1275131658 |
|---|---|
| Provider Enumeration Date | 10/16/2020 |
| Last Update Date | 10/16/2020 |
| Certification Date | 10/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275131658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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