Individual
GIRLYANNE BATAC LACSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6848 MAGNOLIA AVE, SUITE 200, RIVERSIDE, CA 92506-2857
(951) 341-8830
Mailing address
6848 MAGNOLIA AVE, SUITE 200, RIVERSIDE, CA 92506-2857
(951) 341-8830
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW27075
CA
Other
Enumeration date
10/03/2008
Last updated
04/11/2011
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