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Organization
ELSA MATSUMOTO LICENSED CLINICAL SOCIAL WORKER INC.
Active
Organization
ELSA MATSUMOTO LICENSED CLINICAL SOCIAL WORKER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSA MATSUMOTO LCSW (LICENSED CLINICAL SOCIAL WORKER)
(626) 209-9965
Entity
Organization
Contact information
Practice address
1317 W FOOTHILL BLVD STE 226, UPLAND, CA 91786-3673
(626) 209-9965
Mailing address
PO BOX 1064, DUARTE, CA 91009-4064
(626) 209-9965
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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