Kelli Evelyn Ensman, LCSW
NPI #1033407747 in Rialto, California
Provider Information
- NPI Number
- 1033407747
- Entity Type
- Individual
- Name
- Kelli Evelyn Ensman, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jul 14, 2011
- Last Updated
- Aug 27, 2019
Practice Location
- Address
- 850 EAST FOOTHILL BLVD
- City
- Rialto
- State
- California
- ZIP Code
- 92376
- Phone
- (909) 421-4633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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