Individual
HOLLAND ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23311 DRACAEA AVE, MORENO VALLEY, CA 92553-3201
(951) 571-4510
Mailing address
23311 DRACAEA AVE, MORENO VALLEY, CA 92553-3201
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
120947
CA
1041C0700X
Clinical Social Worker
120947
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/20/2021
Last updated
11/21/2024
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