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Organization
THE THADDEUS FOUNDATION
Active
Organization
THE THADDEUS FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMMIE UMSCHEID (PRESIDENT/EXECUTIVE DIRECTOR)
(909) 599-2111
Entity
Organization
Contact information
Practice address
133 E BONITA AVE, SUITE 200, SAN DIMAS, CA 91773-3173
(909) 599-2111
Mailing address
133 E BONITA AVE, SUITE 200, SAN DIMAS, CA 91773-3173
(909) 599-2111
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
D0756713TF5
CA
104100000X
Social Worker
Primary
D0756713TF5
CA
Other
Enumeration date
03/16/2015
Last updated
04/13/2015
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