Individual
BRENDA TORRES-VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
317 W F ST, ONTARIO, CA 91762-3205
(909) 986-7111
(909) 986-0941
Mailing address
6786 LILAC AVE, RIALTO, CA 92376-2765
(909) 684-2952
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
100482
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/14/2015
Last updated
11/14/2024
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