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Organization
SELENA BRIANA BUENO LCSW A PROF CORP
Active
Organization
SELENA BRIANA BUENO LCSW A PROF CORP
Active
Other names
Individual Empowerment Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
SELENA BRIANA BUENO LCSW (CEO)
(909) 544-1492
Entity
Organization
Contact information
Practice address
4158 ROSEWOOD PL, RIVERSIDE, CA 92506-1757
(909) 544-1492
Mailing address
17130 VAN BUREN BLVD, PMB 620, RIVERSIDE, CA 92504-5905
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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