NPI | 1477384626 |
---|---|
Doing Business As | LOOKING GLASS THERAPY A LICENSED CLINICAL SOCIAL WORKER PC |
Entity Type | Organization |
Authorized Contact | LAURA MAGNO Licensed Clinical Social Worker 858-208-0403 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2024-08-09 |
Last Update Date | 2024-09-03 |