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1861095671
KANITA BOURNE LICENSED CLINICAL SOCIAL WORKER INC.
RANCHO CUCAMONGA, CA
NPI
1861095671
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Entity Type
Organization
Authorized Contact
KANITA BOURNE
Owner
909-520-7949
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2020-11-16
Last Update Date
2020-11-16
Business Address
KANITA BOURNE LICENSED CLINICAL SOCIAL WORKER INC.
10601 CIVIC CENTER DR # 100AD
RANCHO CUCAMONGA, CA 91730-3878
Phone number: 909-520-7949
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Mailing Address
KANITA BOURNE LICENSED CLINICAL SOCIAL WORKER INC.
2910 S ARCHIBALD AVE SUITE A #222
ONTARIO, CA 91761
Phone number: 909-520-7949
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