Shane' S Bundy, ACSW Valid NPI
Individual provider · Clinical Social Worker · Moreno Valley, CA
- NPI
- 1679273445
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 89911 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2023-03-09
- Last updated
- 2023-03-09
Practice location
25345 Woodcreek Ct
Moreno Valley, CA 92553-4445
(951) 534-9011