Spirited By Truth Licensed Clinical Social Worker Corportation | |
3400 Inland Empire Blvd Ste 101 Ontario CA 91764-5577 | |
(909) 312-0552 | |
Not Available |
Full Name | Spirited By Truth Licensed Clinical Social Worker Corportation |
---|---|
Speciality | Social Worker - Clinical |
Location | 3400 Inland Empire Blvd Ste 101, Ontario, California |
Authorized Official Name and Position | Alexandra Samuel-sturgess (CEO) |
Authorized Official Contact | 9093120552 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Spirited By Truth Licensed Clinical Social Worker Corportation 3400 Inland Empire Blvd Ste 101 Ontario CA 91764-5577 Ph: (909) 312-0552 | Spirited By Truth Licensed Clinical Social Worker Corportation 3400 Inland Empire Blvd Ste 101 Ontario CA 91764-5577 Ph: (909) 312-0552 |
NPI Number | 1417592916 |
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Provider Enumeration Date | 11/08/2019 |
Last Update Date | 11/08/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417592916 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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