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NPI 1639658636

NPI 1639658636 : CYNTHIA LOWE LCSW85070 : NORTHRIDGE, CA

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General NPI Number Information
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    NPI Number           |    1639658636
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    Entity Type          |    Individual 
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    Provider Name        |    CYNTHIA LOWE LCSW85070
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/09/2018
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    Last Update Date     |    06/26/2025
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Provider Practice Location Address
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    Address Line         |    9227 RESEDA BLVD UNIT 264 
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    City                 |    NORTHRIDGE
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    State                |    CA
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    Zip                  |    91324-3137
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    Country              |    US
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    Telephone            |    818-824-6892
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9227 RESEDA BLVD # 264 
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    City                 |    NORTHRIDGE
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    State                |    CA
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    Zip                  |    91324-3137
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    Country              |    US
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    Telephone            |    818-824-6892
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    Fax                  |    
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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       |    LCSW85070
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    License Number State |    CA
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