Individual
C LEANN ASHLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11651 ANDERSON ST, LOMA LINDA, CA 92354-3412
(909) 815-0972
Mailing address
11651 ANDERSON ST, LOMA LINDA, CA 92354-3412
(909) 815-0972
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW29731
CA
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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