Individual
ALYCIA CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1422 E WORKMAN AVE, WEST COVINA, CA 91791-1333
(626) 392-4811
Mailing address
1422 E WORKMAN AVE, WEST COVINA, CA 91791-1333
(626) 392-4811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW83437
CA
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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