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MARISA MEDINA, LCSW127143
LCSW127143
Clinical Social Worker
NPI: 1770757445IndividualAccepts Medicare
Specialties, Licenses & Credentials
Addiction (Substance Use Disorder) Counselor
Counselor — Addiction (Substance Use Disorder)
Code: 101YA0400X
Clinical Social WorkerPrimary
Social Worker — Clinical
Code: 1041C0700X
LCSW127143(CA)
CMS Specialties
PrimaryCLINICAL SOCIAL WORKER
Education
OTHER
Class of 2018
Contact & Hours
- Address
- 17343 ANASTASIA AVE
FONTANA, CA 92335 - Phone
- (626) 201-6674
Quick Facts
- NPI
- 1770757445
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 8
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