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Organization
THERABLOSSOM LICENSED CLINICAL SOCIAL WORKER, PC
Active
Organization
THERABLOSSOM LICENSED CLINICAL SOCIAL WORKER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHASE VINCENT URIBE LCSW (CEO)
(909) 206-2940
Entity
Organization
Contact information
Practice address
473 E CARNEGIE DR, SUITE 200, SAN BERNARDINO, CA 92408
(909) 255-0230
Mailing address
473 E CARNEGIE DR, SUITE 200, SAN BERNARDINO, CA 92408
(909) 255-0230
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/30/2025
Last updated
01/12/2026
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