Individual
MS. DOREAN E MAHLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 873-4409
Mailing address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 873-4409
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/16/2011
Last updated
05/08/2025
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