Individual
MR. THEODORE R ROBINSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1405 SPRUCE ST STE A, RIVERSIDE, CA 92507-2410
(951) 715-5050
Mailing address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-8638
(760) 863-8812
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
06/07/2019
Last updated
04/08/2020
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