Individual provider · NPI-1

Mesgana Affework

Social Worker, Clinical · Riverside, CA

NPI number1174071187
StatusActive
Last updated in NPPESSep 19, 2016

Details

NPI
1174071187
Entity type
Individual (NPI-1)
Name
Mesgana Affework
Sex
Female
Sole proprietor
No
Enumeration date
Sep 19, 2016
Last updated
Sep 19, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

4164 Brockton Ave
Riverside, CA 92501-3400

Phone 951-683-5193

Mailing address

4164 Brockton Ave
Riverside, CA 92501-3400

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