INGRID VICENCIO

RIVERSIDE, CA
NPI1497162119
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCSW113871)
Enumeration Date2014-07-14
Last Update Date2025-01-13
Business Address
INGRID VICENCIO
4164 BROCKTON AVE
RIVERSIDE, CA 92501-3400
Phone number: 951-683-5193
Mailing Address
INGRID VICENCIO
4164 BROCKTON AVE
RIVERSIDE, CA 92501-3400
Phone number: 951-683-5193
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