Cynthia Lynn Wall, LCSW
NPI #1649359001 in Fort Bragg, California
Provider Information
- NPI Number
- 1649359001
- Entity Type
- Individual
- Name
- Cynthia Lynn Wall, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Nov 3, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 30077 SIMPSON LN
- City
- Fort Bragg
- State
- California
- ZIP Code
- 95437-7759
- Phone
- (707) 964-5229
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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