MEDICARE: DEBORAH FUJIMOTO

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	LCSW79386	CA
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1851545404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH FUJIMOTO

Provider Business Mailing Address
First Line	:	3097 WILLOW AVE STE 8
Second Line	:
City	:	CLOVIS
State	:	CA
Zip	:	93612-4715
Country	:	US
Telephone Number	:	559-908-8042
Fax Number	:	559-908-8042

Provider Business Practice Location Address
First Line	:	3097 WILLOW AVE STE 8
Second Line	:
City	:	CLOVIS
State	:	CA
Zip	:	93612-4715
Country	:	US
Telephone Number	:	559-908-8042
Fax Number	:	559-908-8042

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

Provider Enumeration Date	:	11/10/2008
Last Update Date	:	12/28/2018

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Directions to “ DEBORAH FUJIMOTO ” Practice Location

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