Spirited by Truth Licensed Clinical Social Worker Corportation
NPI #1417592916 in Ontario, California
Provider Information
- NPI Number
- 1417592916
- Entity Type
- Organization
- Organization Name
- Spirited by Truth Licensed Clinical Social Worker Corportation
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Nov 8, 2019
- Last Updated
- Nov 8, 2019
Practice Location
- Address
- 3400 INLAND EMPIRE BLVD STE 101
- City
- Ontario
- State
- California
- ZIP Code
- 91764-5577
- Phone
- (909) 312-0552
Authorized Official
- Name
- ALEXANDRA SAMUEL-STURGESS, LCSW
- Title
- CEO
- Phone
- (909) 312-0552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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