Individual
MARIAH GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
56450 BONANZA DR, YUCCA VALLEY, CA 92284-4203
(760) 574-2315
Mailing address
56450 BONANZA DR, YUCCA VALLEY, CA 92284-4203
(760) 574-2315
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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