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NPI Code Detail

MEDICARE: MS. BARBARA WOHLANDER LCSW

MEDICARE: MS. BARBARA WOHLANDER 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 WorkerLCS7732CA

General Provider Information

NPI Number : 1053611418
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BARBARA WOHLANDER LCSW
Provider Business Mailing Address
First Line : 9525 VERVAIN ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92129-3523
Country : US
Telephone Number : 858-484-6998
Fax Number : 858-484-3290
Provider Business Practice Location Address
First Line : 4147 ADAMS AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92116-2509
Country : US
Telephone Number : 619-851-3290
Fax Number : 858-484-3290
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2010
Last Update Date : 11/01/2010

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