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Organization
DTW MARRIAGE FAMILY CHILD COUNSELING SERVICES INC.
Active
Organization
DTW MARRIAGE FAMILY CHILD COUNSELING SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELSA TAPIA WILSON MS (OWNER)
(951) 330-5898
Entity
Organization
Contact information
Practice address
9431 HAVEN AVE STE 128, RANCHO CUCAMONGA, CA 91730-5881
(951) 330-5898
Mailing address
9431 HAVEN AVE STE 128, RANCHO CUCAMONGA, CA 91730-5881
(951) 330-5898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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