SearchCalifornia1041C0700X

Cynthia Wall, LCSW

NPI 1649359001 · on the registry since 2006 · sole proprietor

Practice

Address
30077 Simpson Ln
Fort Bragg, CA 95437
Phone
(707) 964-5229
Fax
(707) 964-5766

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California