KATHERINE L DECOSTA

PATTON, CA
NPI1972052991
Former NameKATHERINE L MATTOX
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  22283)
Enumeration Date2016-10-03
Last Update Date2016-10-03
Business Address
-- KATHERINE L DECOSTA LCSW
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE
PATTON, CA 92369
Phone number: 909-425-7000
Mailing Address
-- KATHERINE L DECOSTA LCSW
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE
PATTON, CA 92369
Phone number: 909-425-7000