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Individual

JEFFREY FLUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ACSW 89303

Contact information

Practice address
239 W 9TH ST, UPLAND, CA 91786-5979
(909) 981-6121
Mailing address
239 W 9TH ST, UPLAND, CA 91786-5979
(909) 981-6121

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW89303
CA

Other

Enumeration date
10/24/2019
Last updated
12/31/2024
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