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Provider Information for 1447928288


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CYNTHIA K TOBIN MSW, LCSW


Sex: Female

NPI: 1447928288
Last Updated: 2024-10-15
Certification Date: 2024-10-15

Details

NameValue
NPI1447928288
Enumeration Date2021-09-04
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 35751 GATEWAY DR UNIT B236
PALM DESERT, CA 92211-6049
United States

Phone: 605-759-6668 | Fax:605-305-3161
 
Primary Practice Address 35751 GATEWAY DR UNIT B236
PALM DESERT, CA 92211-6049
United States

Phone: 605-759-6668 | Fax:605-305-3161
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalSDLCSW-PIP6512