NPIRadar

Marilyn K Kostry, MSW, LCSW Valid NPI

Individual provider · Clinical Social Worker · Moreno Valley, CA

NPI
1437377033
Type
Individual (Type 1)
Primary specialty
Clinical Social Worker (Social Worker)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
1041C0700X
License number
LCS19684 (CA)
Sex
Female
Sole proprietor
Yes
Enumerated
2007-04-22
Last updated
2007-07-08
Practice location
24655 Wisteria Ln
Moreno Valley, CA 92557-4106
(951) 242-7484

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