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Organization
YVONNE COLLINS LICENSED CLINICAL SOCIAL WORKER PC
Active
Organization
YVONNE COLLINS LICENSED CLINICAL SOCIAL WORKER PC
Active
Other names
Infinity Therapy Solutions Inc
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE R COLLINS MSW (OWNER)
(909) 204-9992
Entity
Organization
Contact information
Practice address
9431 HAVEN AVE, SUITE 100, RANCHO CUCUAMONGA, CA 91730
(909) 204-9992
(909) 204-2820
Mailing address
154 W FOOTHILL BLVD., A-158, UPLAND, CA 91786
(909) 204-9992
(909) 204-2820
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063959054
—
CA
Enumeration date
07/20/2022
Last updated
06/15/2023
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