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1104597582
CARMEN TERESA MACIAS
LOMA LINDA, CA
NPI
1104597582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 86424)
Enumeration Date
2021-09-24
Last Update Date
2021-09-24
Business Address
Mrs. CARMEN TERESA MACIAS LCSW
11201 BENTON ST
LOMA LINDA, CA 92357-1000
Phone number: 909-253-8568
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Mailing Address
Mrs. CARMEN TERESA MACIAS LCSW
PO BOX 1032
HIGHLAND, CA 92346-1032
Phone number: 909-915-4125
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