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Organization
ML SOCIAL WORK GROUP
Active
Organization
ML SOCIAL WORK GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARYL ROBINSON II (EXECUTIVE DIRECTOR)
(248) 962-3510
Entity
Organization
Contact information
Practice address
3290 CAMINITO EASTBLUFF, STE 125, LAJOLLA, CA 92037-2878
(858) 255-1595
Mailing address
3290 CAMINITO EASTBLUFF, STE 125, LAJOLLA, CA 92037-2878
(858) 255-1595
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801084122
CA
Other
Enumeration date
08/28/2012
Last updated
08/31/2012
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