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Organization
GENTLE ROOTS THERAPEUTIC SERVICES LICENSED CLINICAL SOCIAL WORKER A PROFESSIONAL CORPORATION
Active
Organization
GENTLE ROOTS THERAPEUTIC SERVICES LICENSED CLINICAL SOCIAL WORKER A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAREELA ALLEN (LCSW)
(909) 688-6604
Entity
Organization
Contact information
Practice address
7365 CARNELIAN ST STE 224, RANCHO CUCAMONGA, CA 91730-1157
(909) 688-6604
Mailing address
1519 N LILAC AVE, RIALTO, CA 92376-3274
(909) 688-6604
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/04/2025
Last updated
08/31/2026
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