Lisa Jeannette Mader LCSW

NPI 1174790349 - Social Worker - 1041C0700X

NPI Details
NPI 1174790349
Gender Female
Enumeration Date 05/15/2008
Last Updated 05/15/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
9791 MESA SPRINGS WAY
#80
SAN DIEGO CA, 92126-4150, US
Phone (619) 209-9989
Fax
Business Location
9791 MESA SPRINGS WAY
#80
SAN DIEGO CA, 92126-4150, US
Phone (619) 209-9989
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Kansas
License Number 2487
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According to our database, Ms. Lisa Jeannette Mader LCSW NPI is 1174790349, taxonomy code is 1041C0700X and license number is 2487, license state is located at Kansas. Lisa Jeannette Mader LCSW physically located at 9791 Mesa Springs Way, San Diego CA, 92126-4150. NPI Number Lisa Jeannette Mader LCSW has the Individual type.

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1174790349 NPI number is provided on an as is basis without warranty of any kind. 1174790349 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Jeannette Mader LCSW are for informational purposes only.