| Sularo Licensed Clinical Social Worker Inc | |
|
908 S Village Oaks Dr Ste 8 Covina CA 91724-3682 | |
| (626) 991-1804 | |
| Not Available |
| Full Name | Sularo Licensed Clinical Social Worker Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 908 S Village Oaks Dr Ste 8, Covina, California |
| Authorized Official Name and Position | Susan Alfaro (LICENSED CLINICAL SOCIAL WORKER/CEO) |
| Authorized Official Contact | 6269911804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sularo Licensed Clinical Social Worker Inc 908 S Village Oaks Dr Ste 8 Covina CA 91724-3682 Ph: (626) 991-1804 | Sularo Licensed Clinical Social Worker Inc 908 S Village Oaks Dr Ste 8 Covina CA 91724-3682 Ph: (626) 991-1804 |
| NPI Number | 1154170736 |
|---|---|
| Provider Enumeration Date | 05/15/2024 |
| Last Update Date | 05/16/2024 |
| Certification Date | 05/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154170736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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