Wall, Cynthia Lynn

Wall, Cynthia Lynn is an sole proprietor health care provider with primary practice located at 30077 Simpson Ln , Fort Bragg CA 95437-7759. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wall, Cynthia Lynn can be contacted via phone (707) 964-5229.

Contact Information

Primary practice address
30077 Simpson Ln Fort Bragg CA 95437-7759
Fax: (707) 964-5766
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS11193 California

Profile Details

NPI number 1649359001
LBN Legal business name Wall, Cynthia Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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