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Organization
SHADE TREE WELLNESS SERVICES, A LICENSED CLINICAL SOCIAL WORKER CO
Active
Organization
SHADE TREE WELLNESS SERVICES, A LICENSED CLINICAL SOCIAL WORKER CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHANDRA DAVIS LCSW (PRESIDENT)
(626) 313-6864
Entity
Organization
Contact information
Practice address
1179 GRACE LN, S EL MONTE, CA 91733-6802
(626) 313-6864
Mailing address
2345 S ATLANTIC BLVD # 1099, MONTEREY PARK, CA 91754-6805
(626) 313-6864
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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