Provider Demographics
NPI:1558962803
Name:ALOZIE, UCHECHUKWU ADAURE (LCSW)
Entity Type:Individual
Prefix:
First Name:UCHECHUKWU
Middle Name:ADAURE
Last Name:ALOZIE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22365 BARTON RD STE 302
Mailing Address - Street 2:
Mailing Address - City:GRAND TERRACE
Mailing Address - State:CA
Mailing Address - Zip Code:92313-5078
Mailing Address - Country:US
Mailing Address - Phone:909-572-3055
Mailing Address - Fax:
Practice Address - Street 1:22365 BARTON RD STE 302
Practice Address - Street 2:
Practice Address - City:GRAND TERRACE
Practice Address - State:CA
Practice Address - Zip Code:92313-5078
Practice Address - Country:US
Practice Address - Phone:909-649-6111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-03
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA882721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical