MEDICARE: MARJORIE FRANCISCO NOY 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
1	1041C0700X	Clinical Social Worker	86297	CA

General Provider Information

NPI Number	:	1376174946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARJORIE FRANCISCO NOY LCSW

Provider Business Mailing Address
First Line	:	PO BOX 980
Second Line	:
City	:	POWAY
State	:	CA
Zip	:	92074-0980
Country	:	US
Telephone Number	:	760-925-2590
Fax Number	:

Provider Business Practice Location Address
First Line	:	2423 CAMINO DEL RIO S STE 205
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3735
Country	:	US
Telephone Number	:	760-925-2590
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2020
Last Update Date	:	12/20/2021

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