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Individual

ASHLEY C ROTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
855 N EUCLID AVE, ONTARIO, CA 91762-2729
(909) 983-2020
(909) 983-6847
Mailing address
855 N EUCLID AVE, ONTARIO, CA 91762-2729
(909) 983-2020
(909) 983-6847

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 69501
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1942323563
CA
Enumeration date
01/04/2011
Last updated
01/25/2016
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