Individual
ANDRES NIETO DUENES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9707 MAGNOLIA AVE, RIVERSIDE, CA 92503-3609
(195) 235-8444
(195) 235-8535
Mailing address
PO BOX 190, YUCAIPA, CA 92399-0190
(195) 135-8444
(195) 135-8535
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS13291
CA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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