Individual
DIONNE SOUTHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., ED. S.
Contact information
Practice address
35912 AVENUE H, YUCAIPA, CA 92399-5206
(909) 790-8550
Mailing address
35912 AVENUE H, YUCAIPA, CA 92399-5206
(909) 790-8550
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
250058355
CA
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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