Individual
BOBBY GARCIA DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, PPSC, LCSW
Contact information
Practice address
23119 COTTONWOOD AVE STE A110, MORENO VALLEY, CA 92553-6622
(951) 413-5678
Mailing address
28225 WALTHER AVE, MORENO VALLEY, CA 92555-5296
(626) 399-7210
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW122644
CA
Other
Enumeration date
08/31/2021
Last updated
08/28/2024
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