Susan Waasdorp

NPI #1194206177 in Upland, California

Provider Information

NPI Number: 1194206177
Entity Type: Individual
Name: Susan Waasdorp
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 27, 2018
Last Updated: Aug 27, 2018

Practice Location

Address: 390 N EUCLID AVE
City: Upland
State: California
ZIP Code: 91786-4763
Phone: (909) 949-6526

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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