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EVELYN ELAINE ALLEN
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1255882239
Individual Registrant: EVELYN ELAINE ALLEN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3850 EUCALYPTUS AVE CHINO HILLS, CA 91709-1807 US
Tel: 909-597-9974 Fax: 909-627-9222
Tel: 909-597-9974 Fax: 909-627-9222
Contact information for business:
1907 BOYS REPUBLIC DR CHINO HILLS, CA 91709-5447 US
Tel: 909-628-1217 Fax: 909-627-9222
Tel: 909-628-1217 Fax: 909-627-9222
Registration Information:
NPI: 1255882239
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | CA | LCS15110 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
