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Organization
YOUTH HOPE LICENSED CLINICAL SOCIAL WORKER CORP
Active
Organization
YOUTH HOPE LICENSED CLINICAL SOCIAL WORKER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA DE LORENZO (SECRETARY)
(909) 567-2808
Entity
Organization
Contact information
Practice address
255 N D ST STE 400, SAN BERNARDINO, CA 92401-1715
(909) 567-2808
Mailing address
PO BOX 264, PATTON, CA 92369-0264
(909) 567-2808
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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