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1649359001
CYNTHIA LYNN WALL
FORT BRAGG, CA
NPI
1649359001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA LCS11193)
Enumeration Date
2006-11-03
Last Update Date
2007-07-08
Business Address
CYNTHIA LYNN WALL LCSW
30077 SIMPSON LN
FORT BRAGG, CA 95437-7759
Phone number: 707-964-5229
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Mailing Address
CYNTHIA LYNN WALL LCSW
30077 SIMPSON LN PO BOX 2082
FORT BRAGG, CA 95437-7759
Phone number: 707-964-5229
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