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Individual

AFRAH ALI SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ASW

Contact information

Practice address
2008 N GAREY AVE, POMONA, CA 91767-2722
(909) 623-6131
(909) 865-9281
Mailing address
2008 N GAREY AVE, POMONA, CA 91767-2722
(909) 623-6131
(909) 865-9281

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
123373
CA
390200000X
Student in an Organized Health Care Education/Training Program
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/24/2022
Last updated
09/03/2025
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