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NPI Code Detail

MEDICARE: CYNTHIA SAFFELL RD, LCSW, CEDS

MEDICARE:   CYNTHIA  SAFFELL  RD, LCSW, CEDS
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 WorkerLCS #158175CA

General Provider Information

NPI Number : 1548339088
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA SAFFELL RD, LCSW, CEDS
Provider Business Mailing Address
First Line : 2505 W SHAW AVE BLDG A
Second Line :
City : FRESNO
State : CA
Zip : 93711-3334
Country : US
Telephone Number : 559-261-2713
Fax Number :
Provider Business Practice Location Address
First Line : 2505 W SHAW AVE
Second Line :
City : FRESNO
State : CA
Zip : 93711-3334
Country : US
Telephone Number : 559-261-2713
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2006
Last Update Date : 07/08/2007

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Directions to “ CYNTHIA SAFFELL RD, LCSW, CEDS” Practice Location

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