| Fee For Service Lcsw | |
|
162 Grove St Ste J Bishop CA 93514-2652 | |
| (760) 873-6533 | |
| (760) 873-3277 |
| Full Name | Fee For Service Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 162 Grove St Ste J, Bishop, California |
| Authorized Official Name and Position | Gail Zwier (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Contact | 7608736533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fee For Service Lcsw 162 Grove St Ste J Bishop CA 93514-2652 Ph: (760) 873-6533 | Fee For Service Lcsw 162 Grove St Ste J Bishop CA 93514-2652 Ph: (760) 873-6533 |
| NPI Number | 1104042639 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104042639 | NPI | - | NPPES |
| ZZT11964F | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (California) | Primary |
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