Individual
AUTUMN CRY-MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2275 CENTRAL AVE, MCKINLEYVILLE, CA 95519-3611
(707) 839-1549
Mailing address
4564 VALLEY WEST BLVD APT D, ARCATA, CA 95521-4650
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CA
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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