Individual
MR. ANDREW ENOCH KWANING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
771 W BLAINE ST, RIVERSIDE, CA 92507-3940
(951) 358-4120
Mailing address
771 W BLAINE ST, RIVERSIDE, CA 92507-3940
(951) 358-4120
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW115505
CA
Other
Enumeration date
06/04/2018
Last updated
12/20/2023
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