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Organization
DIGNA RIVERA WOOLUM LICENSED CLINICAL SOCIAL WORKER INC A PROF
Active
Organization
DIGNA RIVERA WOOLUM LICENSED CLINICAL SOCIAL WORKER INC A PROF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIGNA ROCIO RIVERA WOOLUM LCSW (DIRECTOR/PROVIDER)
(661) 390-6874
Entity
Organization
Contact information
Practice address
1255 W COLTON AVE, REDLANDS, CA 92374-2861
(661) 390-6874
Mailing address
201 BROOKSIDE AVE., #402, REDLANDS, CA 92373-2517
(661) 390-6874
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91473
BOARD OF BEHAVIORAL SCIENCES
CA
Enumeration date
05/20/2020
Last updated
10/29/2020
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