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NPI Code Detail

MEDICARE: MARIA DEL ROSARIO CISNEROS LCSW

MEDICARE:   MARIA DEL ROSARIO CISNEROS  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 WorkerLCS24804CA

General Provider Information

NPI Number : 1841325115
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA DEL ROSARIO CISNEROS LCSW
Provider Business Mailing Address
First Line : 1126 N GRAND AVE STE D
Second Line :
City : COVINA
State : CA
Zip : 91724-1552
Country : US
Telephone Number : 626-967-1667
Fax Number :
Provider Business Practice Location Address
First Line : 1126 N GRAND AVE STE D
Second Line :
City : COVINA
State : CA
Zip : 91724-1552
Country : US
Telephone Number : 626-967-1667
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2007
Last Update Date : 08/27/2008

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Directions to “ MARIA DEL ROSARIO CISNEROS LCSW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.