Individual
AIDA ESTELA COLOCHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW 86181
Contact information
Practice address
11273 TERRA VISTA PKWY APT A, RANCHO CUCAMONGA, CA 91730-7417
(818) 441-8892
Mailing address
3300 FOOTHILL BLVD # 8115, LA CRESCENTA, CA 91214-2516
(818) 441-8892
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
86181
CA
Other
Enumeration date
10/01/2018
Last updated
11/25/2024
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