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NPI Code Detail

MEDICARE: MS. SALINA HARRIGAN THORNTON LCSW

MEDICARE: MS. SALINA HARRIGAN THORNTON LCSW
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
11041C0700XClinical Social Worker68097CA

General Provider Information

NPI Number : 1952756215
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SALINA HARRIGAN THORNTON LCSW
Provider Business Mailing Address
First Line : 428 LILY ST
Second Line :
City : FAIRFIELD
State : CA
Zip : 94533-1533
Country : US
Telephone Number : 510-426-1563
Fax Number :
Provider Business Practice Location Address
First Line : 1625 FILBERT ST
Second Line :
City : OAKLAND
State : CA
Zip : 94607-2890
Country : US
Telephone Number : 510-663-9092
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2016
Last Update Date : 06/19/2023

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