Royals' Lcsw Therapeutic Services, Inc | |
15533 Carrera Dr Fontana CA 92337-0949 | |
(909) 636-4811 | |
Not Available |
Full Name | Royals' Lcsw Therapeutic Services, Inc |
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Speciality | Social Worker - Clinical |
Location | 15533 Carrera Dr, Fontana, California |
Authorized Official Name and Position | Celena Horton (CEO) |
Authorized Official Contact | 9096364811 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Royals' Lcsw Therapeutic Services, Inc Po Box 311220 Fontana CA 92331-1220 Ph: (909) 636-4811 | Royals' Lcsw Therapeutic Services, Inc 15533 Carrera Dr Fontana CA 92337-0949 Ph: (909) 636-4811 |
NPI Number | 1942858964 |
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Provider Enumeration Date | 09/03/2019 |
Last Update Date | 09/03/2019 |
Identifier | Type | State | Issuer |
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1942858964 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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