KANITA BOURNE LICENSED CLINICAL SOCIAL WORKER INC.

RANCHO CUCAMONGA, CA
NPI1861095671
Entity TypeOrganization
Authorized ContactKANITA BOURNE
Owner
909-520-7949
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2020-11-16
Last Update Date2020-11-16
Business Address
KANITA BOURNE LICENSED CLINICAL SOCIAL WORKER INC.
10601 CIVIC CENTER DR # 100AD
RANCHO CUCAMONGA, CA 91730-3878
Phone number: 909-520-7949
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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