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General NPI Number Information
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NPI Number | 1275420762
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Entity Type | Organization
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Legal Business Name | CELESTE SOTO LCSW INC
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 637 W J ST
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City | ONTARIO
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State | CA
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Zip | 91762-1927
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Country | US
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Telephone | 909-281-2620
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Fax | 909-281-2670
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Provider Business Mailing Address
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Address Line | 6339 CHARLOTTE PIKE # 747
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City | NASHVILLE
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State | TN
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Zip | 37209-2926
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Country | US
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Telephone | 909-281-2620
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Fax | 909-281-2670
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Authorized Official
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Title or Position | LCSW
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Name | CELESTE MARISOL SOTO
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Credential |
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Telephone | 909-281-2620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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