Richard, Gwendolyn

Richard, Gwendolyn is an individual health care provider with primary practice located at 13442 Huntington St , Fontana CA 92336-3908. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Richard, Gwendolyn can be contacted via phone (909) 697-9297.

Contact Information

Primary practice address
13442 Huntington St Fontana CA 92336-3908
Phone: (909) 697-9297
Fax: (909) 899-9854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 72357 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 89336 California

Profile Details

NPI number 1952754905
LBN Legal business name Richard, Gwendolyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2016
Last updated Jun 26th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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