STEPHANIE ROSE VAN

PASADENA, CA
NPI1295202422
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  85796)
Enumeration Date2018-10-25
Last Update Date2018-10-25
Business Address
STEPHANIE ROSE VAN LCSW
440 S MARENGO AVE
PASADENA, CA 91101-3113
Phone number: 213-986-6229
Mailing Address
STEPHANIE ROSE VAN LCSW
PO BOX 250443
GLENDALE, CA 91225-0443
Phone number: 213-986-6229