Stephanie Martinez Reynoso
Social Worker, Clinical in Glendora, CA. Individual provider (NPI-1).
NPI number1124453584
StatusActive
Last updated in NPPESMay 18, 2018
Details
- NPI
- 1124453584
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Martinez Reynoso
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 4, 2013
- Last updated
- May 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW82695 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | ASW66697 | CA |
Practice location
1160 S Grand AveGlendora, CA 91740
Phone 626-335-5980
Mailing address
1160 S Grand AveGlendora, CA 91740-5000
Phone 626-335-5980
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All 44 Clinical Social Worker providers in Glendora · All 1,429 providers in Glendora
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