The Root Network, a Licensed Clinical Social Worker Corporation
NPI #1619560166 in Ontario, California
Provider Information
- NPI Number
- 1619560166
- Entity Type
- Organization
- Organization Name
- The Root Network, a Licensed Clinical Social Worker Corporation
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Feb 16, 2021
- Last Updated
- Feb 17, 2021
Practice Location
- Address
- 2990 INLAND EMPIRE BLVD STE 105
- City
- Ontario
- State
- California
- ZIP Code
- 91764-4899
- Phone
- (909) 235-9880
Authorized Official
- Name
- MRS. MARSHIQ WILSON-MARTIN, LCSW
- Title
- OWNER
- Phone
- (909) 235-9880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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