Individual
MRS. KAILEE ROSE WINGROVE-VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW
Contact information
Practice address
78150 CALLE TAMPICO STE 214, LA QUINTA, CA 92253-2907
(760) 423-3002
Mailing address
PO BOX 2723, INDIO, CA 92202-2723
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
128000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128000
BBS
CA
Enumeration date
09/30/2025
Last updated
10/24/2025
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