Organization
GIOVANNA PAGANO LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GIOVANNA PAGANO LCSW (PSYCHOTHERAPIST)
(707) 734-0504
Entity
Organization
Contact information
Practice address
327 E REDWOOD AVE STE D, FORT BRAGG, CA 95437-3550
(707) 734-0504
Mailing address
PO BOX 272, LITTLE RIVER, CA 95456-0272
(707) 734-0504
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW22285
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295852242
—
CA
Enumeration date
02/20/2018
Last updated
03/08/2018
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