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Organization
TL LICENSED CLINICAL SOCIAL WORKER INC.
Active
Organization
TL LICENSED CLINICAL SOCIAL WORKER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ERIN HAMILTON LCSW (CEO/PRESIDENT)
(949) 444-2851
Entity
Organization
Contact information
Practice address
2222 MARTIN, SUITE 200, IRVINE, CA 92612-1458
(949) 444-2851
Mailing address
PO BOX 61693, IRVINE, CA 92602
(949) 444-2851
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29227
CA
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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