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NPI Code Detail

MEDICARE: SIGRID MINES LCSW

MEDICARE: SIGRID MINES 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 WorkerSW18170FL

General Provider Information

NPI Number : 1376933598
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIGRID MINES LCSW
Provider Business Mailing Address
First Line : 6505 S MANTHEY RD
Second Line :
City : FRENCH CAMP
State : CA
Zip : 95231-9518
Country : US
Telephone Number : 209-635-2712
Fax Number :
Provider Business Practice Location Address
First Line : 6505 S MANTHEY RD
Second Line :
City : FRENCH CAMP
State : CA
Zip : 95231-9518
Country : US
Telephone Number : 209-635-2712
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2015
Last Update Date : 11/24/2025

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Directions to “ SIGRID MINES LCSW” Practice Location

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