TAWANNA JEAN SMITH-BLACK

ONTARIO, CA
NPI1114273570
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  ASW118771)
Additional Taxonomies104100000X Social Worker
Enumeration Date2012-08-02
Last Update Date2025-07-04
Business Address
Mrs. TAWANNA JEAN SMITH-BLACK
3281 E GUASTI RD STE 450
ONTARIO, CA 91761-7635
Phone number: 909-323-7100
Mailing Address
Mrs. TAWANNA JEAN SMITH-BLACK
743 W 99TH ST
LOS ANGELES, CA 90044-4605
Phone number: 323-779-2296