Individual
MS. BEVERLY JEAN CRIPPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
425 W BONITA AVE STE 103, SAN DIMAS, CA 91773-2543
(909) 456-0460
Mailing address
1433 E ROUTE 66, SUITE E, GLENDORA, CA 91740-3747
(909) 456-0460
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS23005
CA
Other
Enumeration date
11/19/2008
Last updated
02/08/2019
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