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General NPI Number Information
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NPI Number | 1982269809
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Entity Type | Organization
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Legal Business Name | WINGS OF COURAGE FAMILY SERVICES COUNSELING & PRESENTATIONS, INC.
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Dates
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Enumeration Date | 05/06/2019
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Last Update Date | 05/06/2019
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Provider Practice Location Address
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Address Line | 4413 RIVERSIDE DR STE F
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City | CHINO
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State | CA
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Zip | 91710-3949
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Country | US
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Telephone | 909-225-0188
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Fax | 909-364-1040
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Provider Business Mailing Address
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Address Line | 3056 ROCKY LN
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City | ONTARIO
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State | CA
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Zip | 91761-5074
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Country | US
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Telephone | 909-225-0188
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Fax | 909-364-1040
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. DEBORAH ARMENDARIZ CORONA
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Credential | LMFT
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Telephone | 909-225-0188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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