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Organization
WOMBAT MENTAL HEALTH SERVICES A LCSW PROFESSIONAL CORPORATION
Active
Organization
WOMBAT MENTAL HEALTH SERVICES A LCSW PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIK JAMES ESCARENO DSW, LSCW (CHIEF EXECUTIVE OFFICER)
(840) 999-1767
Entity
Organization
Contact information
Practice address
9431 HAVEN AVENUE, SUITE 100, RANCHO CUCAMONGA, CA 91730-5878
(840) 999-1767
Mailing address
9431 HAVEN AVENUE, SUITE 100, RANCHO CUCAMONGA, CA 91730-5878
(840) 999-1767
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
10/03/2022
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