Your Life Service League Licensed Clinical Social Worker Apc | |
435 W Mission Blvd Ste 301 Pomona CA 91766-1632 | |
(951) 850-1574 | |
Not Available |
Full Name | Your Life Service League Licensed Clinical Social Worker Apc |
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Speciality | Social Worker - Clinical |
Location | 435 W Mission Blvd Ste 301, Pomona, California |
Authorized Official Name and Position | Landon Derrick Hallbrooks (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9518501574 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Your Life Service League Licensed Clinical Social Worker Apc 300 S Park Ave Ste 820 Pomona CA 91766-1501 Ph: (951) 850-1574 | Your Life Service League Licensed Clinical Social Worker Apc 435 W Mission Blvd Ste 301 Pomona CA 91766-1632 Ph: (951) 850-1574 |
NPI Number | 1669086013 |
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Provider Enumeration Date | 09/03/2020 |
Last Update Date | 05/18/2022 |
Certification Date | 05/18/2022 |
Identifier | Type | State | Issuer |
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1669086013 | NPI | - | NPPES |
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