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Organization
SOCIAL SERVICES OF SOUTHERN CALIFORNIA A LICENSED CLINICAL SOCIAL WORK
Active
Organization
SOCIAL SERVICES OF SOUTHERN CALIFORNIA A LICENSED CLINICAL SOCIAL WORK
Active
Other names
Your Space Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELICA PAOLA BELTRAN LCSW (MANAGER)
(760) 364-8229
Entity
Organization
Contact information
Practice address
78150 CALLE TAMPICO STE 200C, LA QUINTA, CA 92253-7406
(760) 364-8229
Mailing address
78150 CALLE TAMPICO STE 200C, LA QUINTA, CA 92253-7406
(760) 364-8229
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW74489
CA
Other
Enumeration date
01/28/2018
Last updated
01/28/2018
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