MARIELA LICON

SAN BERNARDINO, CA
NPI1497201602
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCSW131192)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: CA  131192)
Enumeration Date2016-08-28
Last Update Date2025-09-11
Business Address
-- MARIELA LICON LCSW
1500 N WATERMAN AVE
SAN BERNARDINO, CA 92404-5111
Phone number: 909-703-4099
Mailing Address
-- MARIELA LICON LCSW
1500 N WATERMAN AVE
SAN BERNARDINO, CA 92404-5111
Phone number: 909-703-4099