Organization
ELSA MATSUMOTO LICENSED CLINICAL SOCIAL WORKER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSA MATSUMOTO LCSW (LICENSED CLINICAL SOCIAL WORKER)
(626) 209-9965
Entity
Organization
Contact information
Practice address
1317 W FOOTHILL BLVD STE 226, UPLAND, CA 91786-3673
(626) 209-9965
Mailing address
PO BOX 1064, DUARTE, CA 91009-4064
(626) 209-9965
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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