Melinda Ruby Ancrum, LCSW Valid NPI
Individual provider · Clinical Social Worker · Rialto, CA
- NPI
- 1922140573
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- LCS 27467 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2007-02-12
- Last updated
- 2012-02-21
Practice location
850 E Foothill Blvd
Rialto, CA 92376-5230
(909) 421-9495