Kelly Ann Jimenez
Social Worker, Clinical in Fontana, CA. Individual provider (NPI-1).
NPI number1003567553
StatusActive
Last updated in NPPESJul 25, 2024
Details
- NPI
- 1003567553
- Entity type
- Individual (NPI-1)
- Name
- Kelly Ann Jimenez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 17, 2022
- Certification date
- Jul 25, 2024
- Last updated
- Jul 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 123831 | CA | Yes |
Practice location
14677 Merrill AveFontana, CA 92335-4219
Phone 951-643-2340
Mailing address
14677 Merrill AveFontana, CA 92335-4219
Phone 951-643-2340
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All 83 Clinical Social Worker providers in Fontana · All 3,550 providers in Fontana
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