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NPI Code Detail

MEDICARE: MARY SILVIO CONNER MSW, PPSC

MEDICARE:   MARY SILVIO CONNER  MSW, PPSC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041S0200XSchool Social Worker

General Provider Information

NPI Number : 1295546414
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY SILVIO CONNER MSW, PPSC
Provider Business Mailing Address
First Line : PO BOX 1452
Second Line :
City : LAKE ISABELLA
State : CA
Zip : 93240-1452
Country : US
Telephone Number : 760-379-0997
Fax Number :
Provider Business Practice Location Address
First Line : 6401 FAY RANCH RD
Second Line :
City : WELDON
State : CA
Zip : 93283-9735
Country : US
Telephone Number : 760-378-2211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2025
Last Update Date : 01/16/2025

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Directions to “ MARY SILVIO CONNER MSW, PPSC” Practice Location

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