Individual
INTISAR K CHAMOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTER/SOCIAL WORK
Contact information
Practice address
10182 INDIANA AVE, RIVERSIDE, CA 92503-5304
(951) 509-2400
Mailing address
10182 INDIANA AVE, RIVERSIDE, CA 92503-5304
(951) 509-2400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/22/2010
Last updated
02/16/2011
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