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General NPI Number Information
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NPI Number | 1558733972
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Entity Type | Individual
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Provider Name | CECILIA I MCPHERSON L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 10/25/2015
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 23 W ST CHARLES ST
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City | SAN ANDREAS
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State | CA
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Zip | 95249
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Country | US
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Telephone | 209-419-0167
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Fax | 888-707-2984
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Provider Business Mailing Address
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Address Line | PO BOX 5153
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City | BEAR VALLEY
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State | CA
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Zip | 95223-5153
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Country | US
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Telephone | 209-419-0167
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Fax | 888-707-2984
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW 67593
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License Number State | CA
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