Lynne Barbara Bornheim, LCSW Valid NPI
Individual provider · Clinical Social Worker · Fort Bragg, CA
- NPI
- 1073841540
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- LCS14229 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2009-11-21
- Last updated
- 2019-03-12
Practice location
205 South St
Fort Bragg, CA 95437
(707) 961-4088