Individual
CARLA FUCICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17053 FOOTHILL BLVD BLDG B, FONTANA, CA 92335-3574
(909) 347-1300
Mailing address
17053 FOOTHILL BLVD BLDG B, FONTANA, CA 92335-3574
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
04/08/2025
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