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Individual

ERICA YOUNGBLOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
2397 OLYMPIC VIEW DR, CHINO HILLS, CA 91709-1342
(909) 627-2786
Mailing address
2397 OLYMPIC VIEW DR, CHINO HILLS, CA 91709-1342
(909) 627-2786

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
91254
CA

Other

Enumeration date
08/10/2021
Last updated
08/10/2021
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