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NPI Code Detail

MEDICARE: YOHANNA CIFUENTES LCSW

MEDICARE: YOHANNA CIFUENTES 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
1174400000XSpecialist7899PR
21041C0700XClinical Social Worker007647CT

General Provider Information

NPI Number : 1750317673
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOHANNA CIFUENTES LCSW
Provider Business Mailing Address
First Line : 94D BLACHLEY RD
Second Line :
City : STAMFORD
State : CT
Zip : 06902-4320
Country : US
Telephone Number : 203-505-5793
Fax Number :
Provider Business Practice Location Address
First Line : 100 EAST AVE
Second Line :
City : NORWALK
State : CT
Zip : 06851-5010
Country : US
Telephone Number : 787-205-0643
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 03/13/2012

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Directions to “ YOHANNA CIFUENTES LCSW” Practice Location

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