Individual
ALLEN EUGENE LIPSCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
583 N MOUNTAIN AVE, UPLAND, CA 91786-5016
(909) 529-0071
Mailing address
583 N MOUNTAIN AVE, UPLAND, CA 91786-5016
(909) 529-0071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS28414
CA
Other
Enumeration date
07/05/2007
Last updated
12/17/2019
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