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Organization
CREATEWELLNESS, LICENSED CLINICAL SOCIAL WORKER CORPORATION
Active
Organization
CREATEWELLNESS, LICENSED CLINICAL SOCIAL WORKER CORPORATION
Active
Other names
CreateWellness
Organization subpart
No
Provider details
NPI number
Authorized official
KALKIDAN ZERYIHUN (CLINICAL DIRECTOR)
(805) 870-5709
Entity
Organization
Contact information
Practice address
5250 HAYTER AVENUE, LAKEWOOD, CA 90712
(805) 870-5709
Mailing address
10303 DORCHESTER ST, BAKERSFIELD, CA 93311-4921
(805) 870-5709
(844) 907-2005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
03/29/2021
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