Provider Information for 1124269006
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Ms. ADRIENE MOORE ROBINSON LCSW
Sex: Female
NPI: 1124269006
Last Updated: 2021-08-23
Certification Date: 2021-08-05
Certification Date: 2021-08-05
Details
Name | Value | ||||||||
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NPI | 1124269006 | ||||||||
Enumeration Date | 2009-03-23 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 5700 LOCHMOOR DR APT 157 RIVERSIDE, CA 92507-8433 United States Phone: 951-786-9754 | Fax: | ||||||||
Primary Practice Address | 5005 LAMART DR. 100B3 RIVERSIDE, CA 92507 United States Phone: 909-831-2660 | Fax: | ||||||||
Secondary Practice Address(es) | 5700 LOCHMOOR DR APT 157 22445 ALESSANDRO BLVD STE 113-114 | ||||||||
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