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TIAWNY BARNES

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1053896100

Individual Registrant:
 TIAWNY  BARNES 
Gender: F
Sole Proprietor

Location and contact information for practice:
233 BASELINE RD  LA VERNE, CA 91750-2353 US
Tel: 909-833-2986  Fax: --

Contact information for business:
400 N PEPPER AVE  COLTON, CA 92324-1819 US
Tel: 909-580-1000  Fax: --

Registration Information:
NPI: 1053896100
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CA64760

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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