Alle-Corliss, Randall M

Alle-Corliss, Randall M is an individual health care provider with primary practice located at 9310 Sierra Ave , Fontana CA 92335-5711. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Alle-Corliss, Randall M can be contacted via phone (909) 427-3788.

Contact Information

Primary practice address
9310 Sierra Ave Fontana CA 92335-5711
Phone: (909) 427-3788
Fax: (909) 427-3750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 9646 California

Profile Details

NPI number 1457404188
LBN Legal business name Alle-Corliss, Randall M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 19 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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