Individual
BEVERLY DENISE CORONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2501 HARBOR BLVD, COSTA MESA, CA 92626-6143
(714) 587-4701
Mailing address
PO BOX 567, CATHEDRAL CITY, CA 92235-0567
(310) 993-7943
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
76155
CA
1041C0700X
Clinical Social Worker
Primary
LCSW76155
CA
Other
Enumeration date
02/14/2018
Last updated
08/21/2024
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