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NPI Code Detail

MEDICARE: MS. CYNTHIA L CROWLEY-HARDI LCSW

MEDICARE: MS. CYNTHIA L CROWLEY-HARDI 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 WorkerLM9709CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1LCS970900OTHERCABLUE SHIELD
2C086405OTHERCACHAMPUS

General Provider Information

NPI Number : 1164427472
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CYNTHIA L CROWLEY-HARDI LCSW
Provider Business Mailing Address
First Line : 2910 HARRIS ST
Second Line :
City : EUREKA
State : CA
Zip : 95503-4811
Country : US
Telephone Number : 707-269-0844
Fax Number : 707-268-0662
Provider Business Practice Location Address
First Line : 2910 HARRIS ST
Second Line :
City : EUREKA
State : CA
Zip : 95503-4811
Country : US
Telephone Number : 707-269-0844
Fax Number : 707-268-0662
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 07/08/2007

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Directions to “ MS. CYNTHIA L CROWLEY-HARDI LCSW” Practice Location

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