MRS. Lynne Michelle Dacosta, L.C.S.W.
NPI #1629150628 in Banning, California
Provider Information
- NPI Number
- 1629150628
- Entity Type
- Individual
- Name
- MRS. Lynne Michelle Dacosta, L.C.S.W.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- L.C.S.W.
- Enumeration Date
- Oct 19, 2006
- Last Updated
- Apr 14, 2021
Practice Location
- Address
- 1627 S HARGRAVE ST
- City
- Banning
- State
- California
- ZIP Code
- 92220-6169
- Phone
- (951) 922-7840
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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