Leo Eliborio Juarez, LCSW

NPI #1972039337 in Upland, California

Provider Information

NPI Number: 1972039337
Entity Type: Individual
Name: Leo Eliborio Juarez, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: May 4, 2017
Last Updated: May 4, 2017

Practice Location

Address: 1403 ALTA AVE
City: Upland
State: California
ZIP Code: 91786-2814
Phone: (909) 228-3028

Specialties & Taxonomy Codes

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

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