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Organization
MY DELIVERANCE IS FREEDOM LICENSED CLINICAL SOCIAL WORKER, INC
Active
Organization
MY DELIVERANCE IS FREEDOM LICENSED CLINICAL SOCIAL WORKER, INC
Active
Other names
My Deliverance is Freedom Licensed Clinical Social Worker, inc, My Deliverance is Freedom, inc
Organization subpart
No
Provider details
NPI number
Authorized official
MYRA DINA LOPEZ LCSW (OWNER/CEO)
(760) 552-9556
Entity
Organization
Contact information
Practice address
16041 KAMANA RD STE A, APPLE VALLEY, CA 92307-1331
(760) 552-9556
Mailing address
16041 KAMANA RD STE A, APPLE VALLEY, CA 92307-1331
(760) 552-9556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
06/23/2022
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