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Organization
GROW AND TRANSFORM LICENSED CLINICAL SOCIAL WORKER INC
Active
Organization
GROW AND TRANSFORM LICENSED CLINICAL SOCIAL WORKER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA TEACHER LCSW (OWNER)
(773) 617-0566
Entity
Organization
Contact information
Practice address
27120 EUCALYPTUS AVE UNIT G435, MORENO VALLEY, CA 92555-4543
(901) 341-4769
(773) 675-8661
Mailing address
27120 EUCALYPTUS AVE UNIT G435, MORENO VALLEY, CA 92555-4543
(901) 341-4769
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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