NPIRadar

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

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