THESPACEBETWEENCOUNSELINGSERVICESLICENSEDCLINICALSOCIALWORKERINC

GRAND TERRACE, CA
NPI1457948077
Entity TypeOrganization
Authorized ContactZUELIKA C XICOTENCATL
Lcsw
951-465-5812
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2020-12-29
Last Update Date2020-12-29
Business Address
THESPACEBETWEENCOUNSELINGSERVICESLICENSEDCLINICALSOCIALWORKERINC
12139 MOUNT VERNON AVE STE 200A
GRAND TERRACE, CA 92313-5547
Phone number: 951-465-5812
Mailing Address
THESPACEBETWEENCOUNSELINGSERVICESLICENSEDCLINICALSOCIALWORKERINC
12139 MOUNT VERNON AVE STE 200A
GRAND TERRACE, CA 92313-5547
Phone number: 951-465-5812
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