Provider Demographics
NPI:1689453763
Name:MEADE, YVONNE MARIE (CLINICAL MSW)
Entity type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:MARIE
Last Name:MEADE
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Gender:F
Credentials:CLINICAL MSW
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Mailing Address - Street 1:680 LANGSDORF DR STE 200
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-3702
Mailing Address - Country:US
Mailing Address - Phone:714-871-9264
Mailing Address - Fax:714-542-2793
Practice Address - Street 1:680 LANGSDORF DR STE 200
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-3702
Practice Address - Country:US
Practice Address - Phone:714-871-9264
Practice Address - Fax:714-871-5032
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-27
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker