Doctor Name: | MUI LEANNE GIP |
NPI Number: | 1528213980 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS21925 |
Business Practice Address: | 2572 Cottage Pointe Dr Riverbank, CA - 953679479 |
Business Phone Number: | 2092472206 |
Business Fax Number: | |
Mailing Address: | Po Box 576425, MODESTO |
State: | CA |
Postal Code: | 953576425 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/25/2008 |
NPI Last Update Date: | 08/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS21925 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |