Individual
CHARLES ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACSW
Contact information
Practice address
55475 SANTA FE TRL, YUCCA VALLEY, CA 92284-3117
(760) 365-3022
Mailing address
55475 SANTA FE TRL, YUCCA VALLEY, CA 92284-3117
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
ASW72211
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/12/2010
Last updated
01/02/2017
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