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Organization
MELISSA L. EALBA, LICENSED CLINICAL SOCIAL WORKER, A PROFESSIONAL CORP
Active
Organization
MELISSA L. EALBA, LICENSED CLINICAL SOCIAL WORKER, A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA L EALBA (GROUP OWNER)
(626) 991-5010
Entity
Organization
Contact information
Practice address
1343 N GRAND AVE STE 210, COVINA, CA 91724-4043
(626) 991-5010
Mailing address
1343 N GRAND AVE STE 210, COVINA, CA 91724-4043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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