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NPI Code Detail

MEDICARE: MRS. YVONNE NOVENA WRIGHT LCSW

MEDICARE: MRS. YVONNE NOVENA WRIGHT 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 WorkerLCSW63555CA

General Provider Information

NPI Number : 1275659773
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. YVONNE NOVENA WRIGHT LCSW
Provider Business Mailing Address
First Line : 10020 ZELZAH AVE APT 307
Second Line :
City : NORTHRIDGE
State : CA
Zip : 91325-4811
Country : US
Telephone Number : 818-294-5347
Fax Number :
Provider Business Practice Location Address
First Line : 7038 OWENSMOUTH AVE
Second Line : SUITE 310
City : CANOGA PARK
State : CA
Zip : 91303
Country : US
Telephone Number : 818-347-8565
Fax Number : 818-347-0506
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 07/31/2018

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