Most Relevant Information
Provider Data
| NPI Number: | 1003174699 |
| Provider Name: | JUSTIN SPRAGUE WEBER |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | LCS26201 |
Most Important Dates
| Enumeration Date: | 05/02/2012 |
| Last Updated: | 05/02/2012 |
Provider Practice Location
1 BEL FLORA CT
ALISO VIEJO
CA
926568079
Practice Location Phone/Fax
| Phone: | 3238689722 |
| Fax: |
Provider Mailing Location
1 BEL FLORA CT
ALISO VIEJO
CA
926568079
Provider Mailing Phone/Fax
| Phone: | 3238689722 |
| Fax: |