Individual
ASHLEY MARIE CABRAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW105709
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4000
Mailing address
10538 PAMPAS CT, ADELANTO, CA 92301-2142
(626) 419-0823
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
105709
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F1524663
LISCENCE
CA
Enumeration date
12/16/2013
Last updated
04/13/2022
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