Jack Walter Light L.C.S.W.

NPI 1326143132 - Social Worker - 1041C0700X

NPI Details
NPI 1326143132
Gender Male
Enumeration Date 09/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
20 MODESTO
IRVINE CA, 92602-0930, US
Phone (714) 469-2745
Fax (714) 389-0623
Business Location
3943 IRVINE BLVD
# 28
IRVINE CA, 92602-2400, US
Phone (714) 469-2745
Fax (714) 389-0623
Toxanomy
Taxonomy Code 1041C0700X
License State California
License Number LCS16241
Remove 1326143132 NPI Number
 

According to our database, Mr. Jack Walter Light L.C.S.W. NPI is 1326143132, taxonomy code is 1041C0700X and license number is LCS16241, license state is located at California. Jack Walter Light L.C.S.W. physically located at 20 Modesto, Irvine CA, 92602-0930. NPI Number Jack Walter Light L.C.S.W. has the Individual type.

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1326143132 NPI number is provided on an as is basis without warranty of any kind. 1326143132 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Walter Light L.C.S.W. are for informational purposes only.