Tl Licensed Clinical Social Worker Inc.

NPI #1972934289 in Irvine, California

Provider Information

NPI Number
1972934289
Entity Type
Organization
Organization Name
Tl Licensed Clinical Social Worker Inc.
Primary Specialty
Social Worker - Clinical
Enumeration Date
Dec 12, 2013
Last Updated
Dec 12, 2013

Practice Location

Address
2222 MARTIN
Address 2
SUITE 200
City
Irvine
ZIP Code
92612-1458
Phone
(949) 444-2851

Authorized Official

Name
JESSICA ERIN HAMILTON, LCSW
Title
CEO/PRESIDENT
Phone
(949) 444-2851

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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