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MRS. JODI ELLEN ALVAREZ BASW

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1497051635

Individual Registrant:
MRS. JODI ELLEN ALVAREZ BASW
Gender: F
Sole Proprietor

Location and contact information for practice:
13800 HEACOCK ST STE C236  MORENO VALLEY, CA 92553-3364 US
Tel: 951-653-0819  Fax: --

Contact information for business:
12688 CALIFORNIA ST SPC 11  YUCAIPA, CA 92399-4747 US
Tel: 909-213-5357  Fax: --

Registration Information:
NPI: 1497051635
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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