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Organization
SPIRITED BY TRUTH LICENSED CLINICAL SOCIAL WORKER CORPORTATION
Active
Organization
SPIRITED BY TRUTH LICENSED CLINICAL SOCIAL WORKER CORPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA SAMUEL-STURGESS LCSW (CEO)
(909) 312-0552
Entity
Organization
Contact information
Practice address
3400 INLAND EMPIRE BLVD STE 101, ONTARIO, CA 91764-5577
(909) 312-0552
Mailing address
3400 INLAND EMPIRE BLVD STE 101, ONTARIO, CA 91764-5577
(909) 312-0552
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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