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Organization
SOUTH OC WELLNESS
Active
Organization
SOUTH OC WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA STONE LCSW (DIRECTOR)
(949) 709-7000
Entity
Organization
Contact information
Practice address
2730 CAMINO CAPISTRANO, SUITE 3, SAN CLEMENTE, CA 92672-4847
(949) 709-7000
Mailing address
2730 CAMINO CAPISTRANO, SUITE 3, SAN CLEMENTE, CA 92672
(949) 709-7000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS21316
CA
Other
Enumeration date
04/25/2007
Last updated
07/25/2008
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