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29970 Technology Dr Ste 216 Murrieta CA 92563-2649 | |
| (619) 354-3812 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 29970 Technology Dr Ste 216, Murrieta, California |
| Authorized Official Name and Position | Michele Peterson (PRESIDENT) |
| Authorized Official Contact | 4358177004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
24329 Bay Laurel Ave Murrieta CA 92562-2163 Ph: (435) 817-7004 | 29970 Technology Dr Ste 216 Murrieta CA 92563-2649 Ph: (619) 354-3812 |
| NPI Number | 1043036775 |
|---|---|
| Provider Enumeration Date | 11/26/2024 |
| Last Update Date | 11/26/2024 |
| Certification Date | 11/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043036775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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