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Organization
95WESTERN YOUTH SERVICES
Active
Organization
95WESTERN YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGGIE ROSS MSW (THERAPIST)
(714) 378-2620
Entity
Organization
Contact information
Practice address
10101 SLATER AVE STE 241, FOUNTAIN VALLEY, CA 92708-4723
(714) 378-2620
(714) 378-2631
Mailing address
10101 SLATER AVE STE 241, FOUNTAIN VALLEY, CA 92708-4723
(714) 378-2620
(714) 378-2631
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
06/18/2007
Last updated
06/13/2008
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