Individual
MS. GUADALUPITA ENCINIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CADC II
Contact information
Practice address
MCXK-ADP, BLDG 170, RM 515, FORT IRWIN, CA 92310
(760) 380-4074
(760) 380-6469
Mailing address
PO BOX 1295, BARSTOW, CA 92312-1295
(760) 380-4032
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801069958
MI
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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