Individual
AUDREY LYNN VIRAMONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4164 BROCKTON AVE, RIVERSIDE, CA 92501-3400
(951) 683-5193
Mailing address
4164 BROCKTON AVE, RIVERSIDE, CA 92501-3400
(951) 683-5193
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131310
CA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/09/2025
Last updated
07/01/2025
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