Individual
INGRID CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16756 CHINO CORONA RD, CORONA, CA 92880-9508
(909) 606-4993
Mailing address
16756 CHINO CORONA RD, CORONA, CA 92880-9508
(909) 606-4993
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW 34221
CA
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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