Cynthia Chase Moore LCSW

NPI 1598057291 - Social Worker - 1041C0700X

NPI Details
NPI 1598057291
Gender Female
Enumeration Date 05/12/2011
Last Updated 05/12/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
975 SERENO DR
VALLEJO CA, 94589-2441, US
Phone (707) 651-1000
Fax
Business Location
49 ASTORIA CIR
PETALUMA CA, 94954-4669, US
Phone (707) 762-4150
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State California
License Number LCS9527
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According to our database, Cynthia Chase Moore LCSW NPI is 1598057291, taxonomy code is 1041C0700X and license number is LCS9527, license state is located at California. Cynthia Chase Moore LCSW physically located at 975 Sereno Dr, Vallejo CA, 94589-2441. NPI Number Cynthia Chase Moore LCSW has the Individual type.

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1598057291 NPI number is provided on an as is basis without warranty of any kind. 1598057291 is maintained by the National Plan & Provider Enumeration System. The contents of Cynthia Chase Moore LCSW are for informational purposes only.