Individual
AMADA SUKUMU WHITSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, ASW
Contact information
Practice address
473 S CARNEGIE DR, SAN BERNARDINO, CA 92408-4207
(909) 297-1153
Mailing address
473 S CARNEGIE DR, SAN BERNARDINO, CA 92408-4207
(909) 297-1153
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW87190
CA
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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