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Organization
SUPPORTIVE SERVICES BY HOUSEAL, LICENSED CLINICAL SOCIAL WORKER INC.
Active
Organization
SUPPORTIVE SERVICES BY HOUSEAL, LICENSED CLINICAL SOCIAL WORKER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD EDDIE HOUSEAL JR. LCSW (CEO AND PRESIDENT- LCSW)
(302) 668-6525
Entity
Organization
Contact information
Practice address
1050 LAKES DR STE 225, WEST COVINA, CA 91790-2910
(626) 699-0990
Mailing address
1050 LAKES DR STE 225, WEST COVINA, CA 91790-2910
(626) 699-0990
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100220
LCSW
CA
Enumeration date
01/25/2022
Last updated
03/24/2023
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