Provider Information for 1891029393
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Ms. LYNN MARIE VINSON LCSW
Sex: Female
NPI: 1891029393
Last Updated: 2019-02-19
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1891029393 | ||||||||||||
| Enumeration Date | 2009-09-30 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1310 CONTINENTAL ST REDDING, CA 96001-0839 United States Phone: 530-410-2402 | Fax:530-276-0438 | ||||||||||||
| Primary Practice Address | 980 PLACER ST REDDING, CA 96001-1126 United States Phone: 530-246-5013 | Fax:530-245-0970 | ||||||||||||
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