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Beverly Jean Crippen, LCSW

Social Worker, Clinical in San Dimas, CA. Individual provider (NPI-1).

NPI number1497900385
StatusActive
Last updated in NPPESFeb 8, 2019

Details

NPI
1497900385
Entity type
Individual (NPI-1)
Name
Ms. Beverly Jean Crippen
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 19, 2008
Last updated
Feb 8, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalLCS23005CAYes

Practice location

425 W Bonita Ave Ste 103
San Dimas, CA 91773-2543

Phone 909-456-0460

Mailing address

1433 E Route 66
Suite E
Glendora, CA 91740-3747

Phone 909-456-0460

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