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JULIE LEE MAWOD LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1346336278

Individual Registrant:
 JULIE LEE MAWOD LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
14379 OLD CAZADERO RD  GUERNEVILLE, CA 95446-9002 US
Tel: 707-604-7878  Fax: --

Contact information for business:
14379 OLD CAZADERO RD  GUERNEVILLE, CA 95446-9002 US
Tel: 707-604-7878  Fax: --

Registration Information:
NPI: 1346336278
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CA29739

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
SOCIAL ADVOCATES FOR YOUTH941711490CA01




HEALTH CARE JOBS CA - Page 1



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