Individual
ANH THUC LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(909) 602-4077
Mailing address
1215 W D ST, ONTARIO, CA 91762-2927
(626) 863-5936
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW93431
CA
Other
Enumeration date
07/31/2012
Last updated
07/01/2024
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