KEVEN FITZGERALD ULRICH

LYNWOOD, CA
NPI1619682655
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  ASW115294)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: CA  ASW115294)
171M00000X Case Manager/Care Coordinator
172V00000X Community Health Worker
Enumeration Date2023-01-13
Last Update Date2023-08-16
Business Address
KEVEN FITZGERALD ULRICH
2640 INDUSTRY WAY
LYNWOOD, CA 90262-4284
Phone number: 310-627-4525
Mailing Address
KEVEN FITZGERALD ULRICH
2640 INDUSTRY WAY
LYNWOOD, CA 90262-4284
Phone number: